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  1. Wiki - Telehealth visits and modifier for 2025 - AAPC

    Dec 18, 2024 · Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits as well?

  2. Wiki - Z47.89 surgery aftercare code with UMR - AAPC

    Apr 3, 2018 · UMR is denying these charges stating the diagnosis is not coded to the highest level of specificity and they are denying our appeals when I send them copies of the aftercare section …

  3. Wiki - UMR AND SUREST | Medical Billing and Coding Forum - AAPC

    Jun 24, 2025 · We are getting paid out of network with UMR and SUREST. When I call and talk to a rep, they do see we are in network, they send the claim back for reprocessing, the claim comes back …

  4. Wiki - Issues with UMR Credentialing and Claim Denials

    Feb 21, 2025 · Hi everyone, Has anyone experienced issues contracting with UMR? They require the credentialing process to be completed through UHC, which we have already done for our providers. …

  5. Wiki - UMR Voiding Prior Authorizations? - AAPC

    Jul 12, 2025 · We have noticed UMR will void codes submitted for prior authorization stating "Included with Primary Code Review". Example: We submit authorization for 97162, and 97110.

  6. Wiki - Consult codes | Medical Billing and Coding Forum - AAPC

    Sep 19, 2019 · You should double check me, but in general, I know the following do not pay for consult codes: Aetna, AVMED, Cigna, Department of Labor, Kaiser, Medicare, Medicare Replacement …

  7. CPT® Code 95165 - Allergen Immunotherapy Services and ... - AAPC

    The Current Procedural Terminology (CPT ®) code 95165 as maintained by American Medical Association, is a medical procedural code under the range - Allergen Immunotherapy Services and …

  8. New Telehealth Codes | Medical Billing and Coding Forum - AAPC

    Sep 18, 2025 · So I need some help and this is the only place I figured I could go to get opinions/facts. As of right now my clinic is getting denials for the new telehealth codes from certain insurances. So …

  9. How Many Units of 95165 Can You Bill, Really? - AAPC

    Sep 30, 2019 · Three credible sources give three different answers, and only one is right. The definition for billing units of allergy serum preparation for patients was

  10. CPT® Code 81002 - Urinalysis Procedures - Codify by AAPC

    The Current Procedural Terminology (CPT ®) code 81002 as maintained by American Medical Association, is a medical procedural code under the range - Urinalysis Procedures.