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  • E M and x-rays | Medical Billing and Coding Forum - AAPC
    Do I use a 25 modifier for the E M code when an x-ray is done the same day in the office Thanks for your help guys!!
  • 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
  • Q0091 Not Paid | Medical Billing and Coding Forum - AAPC
    juliejenkins2005 said: What is the 90 sorry I have never seen that? Very thankful for your response so quickly 90 modifier - "Outside reference laboratory" It just means that someone else actually interpreted the lab, and all you did was take the specimen (Fun fact: Aetna requires it on 88142, if you're not a lab ) Hope that helps!
  • 90460 and 90461 denials | Medical Billing and Coding Forum - AAPC
    I work for Arizona clients, and we are receiving denials from Aetna on 90460 and 90461 as inclusive First, they said inclusive to 96161, which we bill with modifier 59, and then they deny them stating the service doesn't meet the requirements of the member's plan
  • Seriously, Aetna? I dont think so. - AAPC
    Check out the rationale supporting the denial we got from Aetna over 99051 being billed with 96372 - what's wrong with this picture? The link has now mysteriously disappeared from their website, from what I could tell, but that's not stopping me from appealing it, anyways Do you think this is





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