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Co-222 Denial on Hardware

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aweigel:
Hello

I was hoping someone might have an answer to a denial I have been receiving. The insurance company is Blue Cross Blue Shield. We are billing contacts ( hardware) to them as she has an allowance, this has been verified. The denial that I am getting is Co-222 with a remark code of N640. I have reached out to the insurance company many times as this does not seem to make any sense since she has not used any benefits for over a year. I have been told once that she meet her benefit and another stating that she has them? Patient has called and stated that it is our error? Her son recently was in and billed in the exact same manner and we have had no issues. Just wondering if anyone has any insight as to why this is denied with these codes. We billed V2521 with dx code H52.223.

Thank you

Michele:
Were the contacts for her son billed with V2521 as well?  We have had issues with BCBS with that code, V2521.  BCBS requires that you use V2500.  You cannot bill a V2521 without the V2500 also on the claim.

aweigel:
Thanks Michelle!

Her son's were billed with V2520. I can never figure out bc/bs reasons for denials and sometimes I don't think they do either! LOL. I appreciate your help and will try with the new code.

Amy

Michele:
Good luck!  I just had someone here in NY with the same problem and it all came down to the V2521.

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