Telehealth 2025: The Final Rule - AAPC Knowledge Center
Nov 8, 2024 · Medicare reinstates certain pre-pandemic telehealth policies. COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule is the final …
aetna | Medical Billing and Coding Forum - AAPC
Feb 12, 2025 · Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants. I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and …
Aetna E&M Policy | Medical Billing and Coding Forum - AAPC
May 24, 2019 · Now, I couldn't find Aetna's E/M policy, but I would be very surprised if they decided to deviate too much on that sense. Possible reasons for the denial: -The patient was seen by the same …
Wiki - Help with Telehealth visits and modifiers 02, 10, 11.
Jul 2, 2023 · So, like tjuntunen1 said, every insurance has their own rules. I can only speak to a specialist office setting but I'm sure it would apply to a PCP office as well. In Virginia, UHC wants …
Wiki - CPT 81003 inclusvie denieal from Aetna. - AAPC
Nov 11, 2017 · Hi all, Aetna insurance frequently denying CPT 81003 or 81002 charges as inclusive with E&M service (99201-99395). Initially I tried with modifier “25” to E&M, after that I even tried with an …
Wiki - Aetna Medicare Denials LCD for office visit 99213
Oct 26, 2022 · Has anyone had denials for LCD on a office visit for 99213 from Aetna Medicare? This just started Oct 1, 2022 so I'm assuming new fiscal years. Claims are being denied for LCD on an …
95165 and Aetna | Medical Billing and Coding Forum - AAPC
Jul 2, 2013 · We have been getting denials from Aetna insurance when billing our 95165. They state you can only bill 120 units for 95165 in a 365 day period or 30 every 3 months. If we use our 120 units …
Wiki - 36415 denials | Medical Billing and Coding Forum - AAPC
Oct 26, 2012 · My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit...the lab bills the lab tests, we bill the venipuncture. Is anyone out there getting paid for the …
99221-99223 denials | Medical Billing and Coding Forum - AAPC
Aug 8, 2019 · We had a claim for 99222 that was denied by Aetna since another provider had billed for it first. We are the attending physician (and was the one who asked for a consult with the other …
Wiki - G0180 equivalent for commercial insurances - AAPC
Sep 1, 2016 · Looking for the advice regarding: What code should I use for signing/filling out the Home Health Certification and Plan of care when billing commercial insurance (BCBS, UHC, Aetna)? For …