That's a pretty good guess, but I think I would have gone back to the doctor to ask what was actually being ordered. It could be 95812, 95813 or 95819.
Sometimes you can tell by looking at the chart and actually see what the doctor is requesting. Sometimes you have to go talk to the doc.
If you find that the doctor really intends to have the patient have a different procedure than 95816, I'd ask for an amendment to the pre-auth as soon as possible.
F Tessa Bartels, CPC, CPC-E/M
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