Author Topic: CPT 88165 Medicaid  (Read 504 times)

camedbill

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CPT 88165 Medicaid
« on: November 10, 2016, 04:23:36 PM »
Hello:  I'm billing CPT 88165 Pap Smear to Medicaid and get a denial 'Provider of service is not eligible for the type of services billed'.  Thought it was a waived CLIA issue but am still getting same denial after adding lab code.  Medicaid is of course not of any help.
Any suggestions would be greatly appreciated ???

Michele

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Re: CPT 88165 Medicaid
« Reply #1 on: November 11, 2016, 10:28:11 AM »
It sounds like it has something to do with how the provider is credentialed with Medicaid.  I would contact Medicaid to see why this provider is showing as not eligible to bill for the 88165.  Either he hasn't provided Medicaid with some information necessary or they have something in the provider file not loaded properly.
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