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Ob-Gyn Coding Alert

You Be the Coder:

Careful Which Code You Submit as Primary

Question: We billed CPT® codes 58552 and 49322-59 because of additional documentation from the provider. BCBS only paid on the 49322 procedure and denied 58552 with the reason “charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.” Can you offer any advice on the best way to handle the appeal for this? North Carolina Subscriber Answer: This is a weird [...]