I work for an Allergy and Immunology office in Tulsa, OK. We recently began doing the exhaled nitrous oxide in our office. We have gotten denials from a couple of our largest payors, United Health Care and Aetna, stating the test is not medically necessary. I have used a modifier 25 on the E&M code, but not the 59 modifier, although that makes sense. The denials we have gotten were not due to modifiers unfortunately. That could have been an easy fix. I was told that someone in our office checked with our major carriers prior to our purchasing the equipment and that person was confident that we would be reimbursed. All of my rambling is leading up to my saying, please check it our more thoroughly than we did.
Allergy offices are few and far between. I will keep your email address for future reference. Please feel free to do the same.
Ann Winters, CPC - Allergy Clinic of Tulsa, Inc. (918) 307-1613
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join