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  • aetna | Medical Billing and Coding Forum - AAPC
    Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and lt modifiers to receive proper reimbursement?
  • 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
  • Telehealth 2025: The Final Rule - AAPC Knowledge Center
    Medicare reinstates certain pre-pandemic telehealth policies COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule is the final word for telehealth services effective Jan 1, 2025, unless Congress acts
  • 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)
  • CPT® Code 64454 - AAPC
    The Current Procedural Terminology (CPT ®) code 64454 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves
  • Wiki - CPT 81003 inclusvie denieal from Aetna. - AAPC
    Hi all, Aetna insurance frequently denying CPT 81003 or 81002 charges as inclusive with E M service (99201-99395) Initially I tried with modifier “25” to E M, after that I even tried with an appeal, but no use, it denied as inclusive again In this case I need clarification that, is there any
  • 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
  • CPT® Code 77387 - Radiation Treatment Delivery - Codify by AAPC
    The Current Procedural Terminology (CPT ®) code 77387 as maintained by American Medical Association, is a medical procedural code under the range - Radiation Treatment Delivery




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