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92928 denial

sonya Posted Tue 19th of February, 2019 13:37:42 PM
92928 LC, 92928 RC, 92928 LD , 93010, 99233, 33968, 92943, 92928, 99232 all billed together. Every thing but first three 92928's paid. Would you know why they kicked out and denied? The reason listed was included in other procedure. ICD I25.82, I25.10
SuperCoder Answered Wed 20th of February, 2019 03:38:58 AM

Hi Sonya,

 

The reason for not been paid for rest of the codes is either lack of modifiers or bundling issues. As per NCCI edit CPT 99233, 99232, 93010 all bundles to CPT 92928. Also, E/M codes 99233 and 99232 both cannot be billed on the same date of service. Also, 92928 bundles to 92943. So, we would like to have more details of the procedure performed to get more clarity. Thank you.

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