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misty1908

Recent content by misty1908

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Wiki Billing 61782 with sinus surgeries

We are also having this problem in Pennsylvania with Highmark Blue Shield. Sorry, but I have no other information at this time.
- misty1908
- Post #2
- Sep 21, 2022
- Forum: Billing/Reimbursement
M
Wiki Highmark BS and CPT 69210 denials

I understand that CPT 69120 is considered incidental to the E&M. The problem is if we bill CPT 69210 as the only code, Highmark no longer covers it. I also got clarification from our rep today that they are going by the claim process date, not the date of service. So pretty much anything...
- misty1908
- Post #7
- Jul 31, 2019
- Forum: Billing/Reimbursement
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Wiki Highmark BS and CPT 69210 denials

Our Highmark (PA) provider rep just told us yesterday that they will not pay 69210 ever. They will either deny it as included with an e/m on the same day, or they will deny it when it is billed alone. She said we could bill an e/m if documentation supports it, but we are struggling with the...
- misty1908
- Post #5
- Jun 25, 2019
- Forum: Billing/Reimbursement
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Wiki Tongue-tie release

I have a question regarding the billing of a tongue-tie release procedure. There seems to be some question between using CPT 40819 and CPT 41115. The problem is that the doctor refers to the procedure as a frenulectomy and feels that 40819 is correct. I disagree because 40819 is for the...
- misty1908
- Thread
- Oct 28, 2009
- Replies: 4
- Forum: ENT/Otolaryngology

misty1908

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