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Medicare denial 93016 and 93018

  1. Default Medicare denial 93016 and 93018
    Medical Coding Books
    Can someone help with a Medicare denial. They paid the 78452-26 but are denying 93016 and 93018 as experimental. Did I bill correctly and if not what are your suggestions?

    Thank you,


  2. Default
    We are finding that if billed with office or hospital visit the two are being denied for being a part of the H&P, inclusive of the visit. If justified, we have been modifying the E&M visit and refiling. Good luck!

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