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90658 Blue advantage

  1. Default 90658 Blue advantage
    Medical Coding Books
    Can someone please clarify what the approriate diagnosis code is to bill with 90658 when billing to blue advantage. We are getting a rejection from BCBS and according to the rep as of 12/31/2010 you can no longer bill 90658 with V04.81. Is anyone else aware of this? Thanks

  2. #2
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    Tacoma, WA
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    1,087
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    Quote Originally Posted by lasonya View Post
    Can someone please clarify what the approriate diagnosis code is to bill with 90658 when billing to blue advantage. We are getting a rejection from BCBS and according to the rep as of 12/31/2010 you can no longer bill 90658 with V04.81. Is anyone else aware of this? Thanks
    They need to check again! Just checked Encoder Pro and the only dx codes listed as appropriate with this code are V04.81 and V04.89!
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Location
    Columbia, MO
    Posts
    12,843
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    Quote Originally Posted by lasonya View Post
    Can someone please clarify what the approriate diagnosis code is to bill with 90658 when billing to blue advantage. We are getting a rejection from BCBS and according to the rep as of 12/31/2010 you can no longer bill 90658 with V04.81. Is anyone else aware of this? Thanks
    You bill the one documented by the provider for that patient for that encounter. Always!

    Debra A. Mitchell, MSPH, CPC-H

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