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  • aetna - AAPC
    Does anyone know if Mental health providers (psychologist trist) can bill 96127? We used to bill it with a 90846 or 90847 years ago, but we now know they are bundled Has anyone b
  • Wiki - AETNA and G2211 | Medical Billing and Coding Forum - AAPC
    I was also researching as the big commercial insurances have and or are in the process of adding policies specific to G2211 - Here is what I located from Aetna- Hope this helps
  • Wiki - BCBS and Aetna bundling 90480 - AAPC
    BCBS and Aetna are bundling CPT code 90480 (COVID vaccine administration) when billed with COVID vaccine codes 91321 or 91322 AND a flu vaccine (90656) with vaccine admin code 90460 If we bill if we bill 90480 and 91321 (or 22) alone, the 90480 is paid This bundling issue just started in
  • Aetna E M Policy | Medical Billing and Coding Forum - AAPC
    Now, I couldn't find Aetna's E M policy, but I would be very surprised if they decided to deviate too much on that sense Possible reasons for the denial: -The patient was seen by the same provider at a previous practice, within 3 years -The patient was seen by a similar credentialed provider from the same practice (fairly common denial reason)
  • Aetna denials for 59425 and 59426 - want # of units - AAPC
    Wiki Aetna denials for 59425 and 59426 - want # of units - denying 1 unit- and want all dates on claim? Patricia Donegan Mar 8, 2023 Create Wiki Sort by date
  • Wiki - Aetna denying G2212 stating this is an add on code
    We billed 99215 and G2212 (Prolonged out patient office visit) to Aetna (since provider spent more than 55 minutes) but they paid for 99215 and denied G2212 stating "This claim is being denied for one of two reasons: - We did not receive a claim for the primary service performed Add-on codes
  • Wiki - Aetna - Complex Repairs w Exc of Benign lesion - AAPC
    We recently starting seeing Aetna deny complex repair CPT Codes 13101 etc They will pay the excision and then deny the repair We submit medical records, and its still rejecting or they are taking over 90 days to respond We even include the pathology report, site photos that clearly show
  • CPT® Code 29881 - Endoscopy Arthroscopy Procedures on the . . . - AAPC
    The Current Procedural Terminology (CPT ®) code 29881 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Arthroscopy Procedures on the Musculoskeletal System
  • Aetna denying 99214-93 for audio visit only - AAPC
    Hello! Aetna has been denying our telehealth visits billed with modifier 93 when the video connection fails and the visit is completed as audio-only (99214-93) I called and spoke with a representative who confirmed that Aetna is no longer accepting modifier 93 He advised us to use modifier 95
  • Wiki - Aetna not paying Complex Skin Repairs - AAPC
    Please refer to page 95 of the 2024 CPT manual Per the Complex repair description, it includes debridement as necessary preparation for closure





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