We are using the 99051 code for weekend visits and not getting paid for it by Horizon BCBS, or any other major insurance carrier.
I am hoping that you can help me try and make sure that we utilize this code correctly and begin to get reimbursed for it. They allow for $38 per weekend visit on the EOBs but have used a number of remarks to deny paying for the service. The denial remarks range from:
not eligible for separate reimbursement, denied because required modifier is missing (when modifier is placed, it says incorrect modifier), service is denied because it is excluded from members benefit plan.
Can you offer any help? I am a medical billing service in New Jersey. Thank you