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Coding 36415 & 80050 together

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alaskanannie:
I have an insurance company who is denying 36415 as inclusive to 80053 when I bill them together.  All other insurances pay these separately.  I have found nothing in the Coding book which will help me to definitively appeal the billing of these two codes together.  Can anyone help me with this?
Thanks!

Michele:
Sounds like it may be a plan exclusion.  Have you spoken to a customer service rep?  I would start there.  If I don't like the explanation I would contact a provider rep to discuss.

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