Author Topic: EECP treatment (G0166/92971) - substitute CPT code?  (Read 883 times)

simpham

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EECP treatment (G0166/92971) - substitute CPT code?
« on: November 24, 2021, 10:07:20 PM »
HMSA denied my ECP claims because the code 92971/G0166 is no longer in their list.
Could someone let me know the substitute code for EECP treatment?
Thanks!

Michele

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Re: EECP treatment (G0166/92971) - substitute CPT code?
« Reply #1 on: November 29, 2021, 12:46:51 PM »
I don't see that there is any issue with CPT 92971/G0166.  It hasn't been deleted or replaced.  The provider should be aware of the denial and working with the insurance to rectify.  Do you know if the provider has contacted HMSA?
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simpham

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Re: EECP treatment (G0166/92971) - substitute CPT code?
« Reply #2 on: December 01, 2021, 10:04:41 PM »
I don't see that there is any issue with CPT 92971/G0166.  It hasn't been deleted or replaced.  The provider should be aware of the denial and working with the insurance to rectify.  Do you know if the provider has contacted HMSA?
Yes, I did. I called HMSA and they told me that 92971 is no longer in the reimbursement list.

Michele

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Re: EECP treatment (G0166/92971) - substitute CPT code?
« Reply #3 on: December 02, 2021, 11:51:26 AM »
Are you from the provider's office? 
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Re: EECP treatment (G0166/92971) - substitute CPT code?
« Reply #3 on: December 02, 2021, 11:51:26 AM »