I am billing for an LPC who does psych testing. She's billing 96130 and 96131. All of her BCBS claims have denied. This was before we started billing for her. Not positive on prior auth being obtained, but she bills within the normal unit limits.
After much communication with the provider reps, she was told that she was not contracted with Anthem for billing testing.
Has anyone heard of this? Does one have to specifically ask to bill certain codes? I have more experience with MDs & PHDs. I know there are certain limits as to what can be billed by LPCs and must use proper modifiers but this puzzles me.
Thanks for any assistance!