Coding > Coding

CPT MODIFIER CODES FOR UHC

<< < (2/2)

Ryanne:
Yes, I've looked up the code 99217 and it says the hospital discharge code.  I've called UHC numerous, numerous times and they do not seem to have an answer.  I agree, it doesn't make sense. Was wondering if other billers have come across this problem.   A lot of our patients have Medicaid as a secondary insurance, but now I can enter secondary online without the EOB.   However,  it makes me SO mad that they keep changing the CPT codes.  Takes me forever to figure out the EOB's for patients that have OT and ST, and only parts of dates of service are paid per EOB.

shanbull:
That kind of code changing is crazy  :o Downgrading to a lesser service happens all the time (e.g. 98941 downgraded to 98940) but to switch to something totally unrelated?! That is bizarre. What happens when you appeal? I've also never heard of splitting units on EOB's. CPT codes, sure, but units? That makes no sense whatsoever. I bill some of those codes too (97110 and 97112) and have not run into either of these issues.

Navigation

[0] Message Index

[*] Previous page