I coded 19342 with modifier 50 and aetna only paid for one side, do i need to. Is this occurring with florida. I have heard that aetna will no longer reimburse for the g2211 code, but i can't find any specific policy bulletin about this
Aetna Insurance for Drug Treatment | Granite Mountain BHC
Has anyone else heard this and can point me to the.
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 Is anyone else noticing aetna e/m claims being randomly downcoded without any justification We have had many 99214 downcoded to 99213, even though the mdm supported. Initially i tried with modifier “25” to e&m, after that i even tried.
Has anyone had denials for lcd on a office visit for 99213 from aetna medicare This just started oct 1, 2022 so i'm assuming new fiscal years Claims are being denied for lcd. We have been getting denials from aetna insurance when billing our 95165
They state you can only bill 120 units for 95165 in a 365 day period or 30 every 3 months
If we use our 120. Same with our practice for aetna commercial as well as aetna medicare Our physicians want each denial appealed, no payer response yet
