Hello all,
I am a neuropsychologist who bills Medicare. I was getting reimbursed for my testing using code 294.10. Suddenly, my claims are being denied because they claim that I am not using codes to the highest level of specificity. When I look up the definition of specificity, the information I read is the code is requiring a fourth or fifth digit. Since the above code has these digits I am confused as to how to proceed. Should I use a different code (the neurologist is concerned about verifying an organic dementia vs. depression or anxiety) to further explain the need for the service or some other strategy?
Thank you for any help.
Chris