Dawn442
New
Hi everyone! I'm new to OTP G code billing and I am struggling to understand, I am very hopeful that you all may be able to help me.
Provider is billing G2074 on lets say DOS 1/26/2024 and on DOS 1/28/2024 they bill G2080. Two separate billings, not on same claim. Here are the rejections being received from Aetna.- COB15: This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
- N674: Not covered unless a pre-requisite procedure/service has been provided.
Thank you in advance for any guidance you may have!