Author Topic: Denial for 82948 and 36415  (Read 2939 times)

Michele

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Denial for 82948 and 36415
« on: November 26, 2012, 05:44:39 AM »
I received the following in a personal message and I'm posting it in the public forum for additional responses:


"Hi, I need help please. I tried billing 82948 and 36415 and they both denied by medicare,  do i need a modifier for these procedure or we just used a wrong cpt code for the procedure that was done.We used 82948 for patients that we check for blood glucose. Is these the right code that medicare pays? also for venipuncture? Appreciate your help.
Thanks"


We would need more information on what they were denied for.  It's really hard to help without knowing.  It may be something simple like not having the CLIA # on file.  It may not be your coding.  Please provide more details.
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arnelo

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Re: Denial for 82948 and 36415
« Reply #1 on: January 11, 2013, 01:58:30 AM »
Thanks for your reply. The only reason that i have is PAYMENT ADJUSTED DUE TO A SUBMISSION/BILLING ERROR(S). If this is a CLIA issue, out of my 15 claims for different pt,only 1 will get paid. It should be all of them right?

camedbill

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Re: Denial for 82948 and 36415
« Reply #2 on: February 09, 2013, 05:22:37 PM »
Maybe you needed a lab code

Dede19

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Re: Denial for 82948 and 36415
« Reply #3 on: April 28, 2013, 06:14:50 PM »
My best guess is... you cannot bill for a venipuncture on a finger stick code.   :D