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Billing Optumhealth for 98941 when Clinical Submission Form authorizes 98940

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DMK:

--- Quote from: 2012billingrep on February 22, 2014, 10:59:33 AM ---DMK, when you say you bill with the correct diagnosis and procedures that you add in diagnoses and procdures not on the original submission form?

--- End quote ---

I bill CORRECT codes (diagnosis and CPT) for what was done.  However, the OPTUM authorization service I have to go through only gives me a date range for services.  I don't have to give them CPT codes, only diagnosis and patient's report of pain level.  I have not had a problem getting paid YET. 

I do understand your dilemma, because patient's can have an additional problem come up, or a new injury.  You should be able to update your treatment plan so that it's all correct.

2012billingrep:
Thanks for the responses. Am still stuck on the issue but hopefully will figure it out

shanbull:
Let us know how it goes! I am always curious to see the outcomes other people have with this stuff.

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