Recent content by MAbilling

  1. M

    Wiki CMS NCCI Presumptive & Definitive Testing

    We are having this issue. We received denials from Aetna and Humana so far. Humana had already been billed with G0480-59 mod attached and they still denied stating based on the CMS guidelines. We cannot find anything about it on CMS or any other coding site. We will be resending the Aetna claims...
  2. M

    Wiki HUMANA POST RECORD REVIEW

    Yes, Humana only covers G0480, you can send a corrected claim to replace G0481 for G0480 and attach the original claim number to the new claim so they don't deny as duplicate. Also Humana may require 59 modifier for G0480 if billed on the same day with other tests.
Top