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 …

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 …

Jul 15, 2024 · I have heard that AETNA will no longer reimburse for the G2211 code, but I can't find any specific policy bulletin about this. Has anyone else heard this and can point me to the …

May 24, 2019 · Aetna provider reps will usually give you the CPB number regarding the policy they cite for denial. When you call, do they give you a CPB? I cannot find a CPB regarding this …

Feb 3, 2025 · Providers and patients both reap the benefits when this add-on code is used correctly. HCPCS Level II add-on code G2211 recognizes the ongoing Providers and patients …

Jan 15, 2025 · Rulemaking and lawmaking keep telemedicine a viable solution for the masses, for now. Now that the dust has settled on the American Relief Act, 2025, Medicare policy for …

Oct 25, 2010 · 76856 and 76830 Aetna considers these, when done together " a standard of care" without each having a different diagnosis showing medical necessity for each done at same …

Mar 26, 2025 · Is anyone else noticing Aetna E/M claims being randomly downcoded without any justification? We have had many 99214 downcoded to 99213, even though the MDM …

Jul 13, 2017 · I am getting denials through Aetna for 77014 because their policy states you cannot bill 77014 60 days before or after billing code 77301. Is anyone else...

Mar 3, 2015 · we have been getting a lot of denials from Aetna when billing the urinalysis code 81003 w/ an op office visit, the reason given is incidental to primary procedure, we are an op …