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  • 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)
  • Wiki - Psychotherapy codes w new Telemedicine Synchronous Audio . . . - AAPC
    In 2024 and previously at our psychiatric office for medication management and therapy, our providers, all MDs and NPs, would code a typical 30 minute visit as 99214, 90833 for an E M with the psychotherapy add on Whenever this was completed by a video we would also add the telemedicine 95
  • Bill G2211 With Confidence (and Modifier 25) - AAPC
    Providers and patients both reap the benefits when this add-on code is used correctly HCPCS Level II add-on code G2211 recognizes the ongoing Providers and patients both reap the benefits when this add-on code is used correctly
  • 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
  • New Telemedicine Codes for 2025 - AAPC
    For the Current Procedural Technology (CPT®) 2025 code set, a new Telemedicine Services subsection with 17 new codes has been added to the Evaluation and Management (E M) section These 17 new codes are intended for reporting synchronous (ie, real-time) E M services, with coding options available for both new and established patients This article provides guidance on these new guidelines and
  • 99221-99223 denials | Medical Billing and Coding Forum - AAPC
    We had a claim for 99222 that was denied by Aetna since another provider had billed for it first We are the attending physician (and was the one who asked for a consult with the other provider) so I appended the modifier -AI, sent in the corrected claim with reconsideration form but they still denied it They are claiming that the code can only be billed once per day I checked again and CMS
  • 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
  • 2025 Brings New Telemedicine Codes - AAPC Knowledge Center
    But only one is reimbursable under Medicare For calendar year 2025, the American Medical Association (AMA) introduced a new set of telemedicine codes
  • Wiki - 36415 denials | Medical Billing and Coding Forum - AAPC
    My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit the lab bills the lab tests, we bill the venipuncture Is anyone out there getting paid for the 36415 for these insurance companies?





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