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Thread: Medicare denial 93016 and 93018

  1. #1

    Default Medicare denial 93016 and 93018

    AAPC: Back to School
    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. #2


    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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