I billed 97014 for one of our physical therapists as usual, if it is accepted it will be bundled anyway but I need to know the answer on this because sometimes they bill this code alone. It was rejected for " CO-189: 'Not otherwise classified' or 'unlisted' procedure code (CPT/HCPCS) was billed when there is a specific procedure code for this procedure/service " and "M81 - 'You are required to code to the highest level of specificity.'"
Now this is bizarre because I've never seen this response from this insurer, and we bill them daily with this CPT code, and it did have the GP modifier to indicate it was performed under a PT plan of care. I know they don't want G0283 instead. I would think perhaps the diagnosis was what wasn't specific enough (719.45 - joint pain - pelvis) but the denial specifically says it's the procedure code that is the issue. Did I miss something major about electrical stimulation codes recently?