Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

medicare denying payment

Vangie Posted Wed 02nd of March, 2011 17:23:59 PM

I submitted a claim for contraceptive: (Date of servie 01/11/11)

11975 (Implanon insertion)
J7307 (IMpanon supply)

Dx V25.5

Medicare claims this an non-covered outpatient benefit. It used to paid before, but now it is a denied.

What should my next option be?

SuperCoder Answered Thu 03rd of March, 2011 07:08:34 AM

J7307 became effective January 1, 2008, it is listed as a status indicator "I" code. Status indicator "I" means that these codes are not covered by Medicare Part B. The code can be submitted to Medicare Part B for denial. This will allow services to be filed to the beneficiary's secondary insurance.

Related Topics