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OATS talus denial

  1. #1
    blue bell
    Default OATS talus denial
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    Billed 28446 and indep. blue cross is dening due to experimental/investigational. Need help any one else getting denied and if so how r u correcting. Any special DX?

  2. #2
    I have been denied for this same proced. by Aetna.

    Aetna says it is their policy that any defect larger than a certain size is considered experimental. I checked their policy online and it is indeed part of their policy.

    I doubt we will be getting paid for this- it is the correct CPT and correct Dx- what could you change?

    We have been unable to get paid.

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