Search results

  1. S

    Wiki BCBS Medicare and 87804, 87804-59 issue

    Thank you! This is what I was thinking about doing, however, my manager would like more input before we do.
  2. S

    Wiki BCBS Medicare and 87804, 87804-59 issue

    Our office billed Flu tests as 87804 & 87804-59, yet the only payor who refuses to pay for the 2nd (Flu B) test is BCBS Medicare. We are told that if we disagree with their processing, we need to appeal, and frankly, this is a drain of our resources, due to the reimbursement amount allowed...
  3. S

    Wiki Humana requiring anatomical modifier

    I have received a denial from Humana Medicare requiring an anatomical modifier on CPT 63020, Excision of a cervical disk, one level. Has anyone else seen this or similar? I believe their edit is incorrect/invalid, but am looking to see how prevalent the denial is, to determine how far to fight...
Top