Medical Billing Forum
Coding => Coding => : dfranklin September 10, 2010, 03:15:32 AM
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OK..here is one I haven't ran into...I have billed 98943 for my chiro for many insurances just fine and in fact for this carrier in question I have billed 9843 for them as well (which is UPMC). Now it was denied with this ""Not otherwise classified" or "unlisted" procedure code (CPT/HCPCS) was billed when there is a specific procedure code for this procedure/service" Did something change? 98943 is a specifc procedure code I thought...any suggestions?
Thanks!!
Don
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98943 is an extremity adjustment. As long as there is an extremity diagnosis it should be payable, UNLESS only SPINAL adjustments are covered. I would call the insurance company and verify that the code was typed in correctly. GIGO!
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Thanks!!!! I will definitely have to call them. 739.7 was used as the extremity code. So maybe it is just not a covered benefit for this patient or someone there is entering the code incorrectly as you mentioned. Thanks for your help.
Don