Medical Billing Forum

Coding => Coding => : alaskanannie March 30, 2011, 04:54:48 PM

: Coding 36415 & 80050 together
: alaskanannie March 30, 2011, 04:54:48 PM

I have an insurance company who is denying 36415 as inclusive to 80053 when I bill them together.  All other insurances pay these separately.  I have found nothing in the Coding book which will help me to definitively appeal the billing of these two codes together.  Can anyone help me with this?
Thanks!

: Re: Coding 36415 & 80050 together
: Michele March 31, 2011, 12:08:46 PM

Sounds like it may be a plan exclusion.  Have you spoken to a customer service rep?  I would start there.  If I don't like the explanation I would contact a provider rep to discuss.