Medical Billing Forum
Coding => Coding => : williamportor April 25, 2022, 06:53:25 PM
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Hello - I've recently rebilled 1 line item for a Naturopath that Blue Cross refuses to pay on. It is: 98926 (Medicine / osteopathic manipulative treatment) This code was paid on in the past, but now it does not pay. The EOB says: This should be billed with the appropriate code for these services. May I ask...how does one find the "appropriate code" for these services?? I've called customer service multiple times, and they said they do not give out coding advise. Any suggestions? ???
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What dx codes were on the line?
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What dx codes were on the line?
The codes used were: G47.00, R09.81, M54.30, M25.551, M25.552, M54.50 / As I said, one or more of these codes were "inconsistent" with procedure code 98926 according to the insurance co. Should one or more of these be left out? Is a modifier needed? The insurance co. won't say. Any suggestions would be welcome.
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For Osteopathic Manipulation you must use dxs in the M99.01-M99.09 range. I believe that is the issue.
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For Osteopathic Manipulation you must use dxs in the M99.01-M99.09 range. I believe that is the issue.
Thank You. Much appreciated! :)