Marla Posted Thu 22nd of January, 2015 09:16:03 AM
How would I go about finding out what code has an allowable of 58.15?
SuperCoder Answered Thu 22nd of January, 2015 11:41:54 AM
Thanks for your question. Allowables will vary by the insurance company. You could very well see multiple procedures with the same allowable. Allowables are broken down by facility and professional fees with separate allowables for modifiers as well. If you have a particular insurance company that you are referring to, and you have your fee schedule available, you could possibly search for the amount and then reference the procedure code. Generally speaking you will have to have the procedure code in order to determine the allowable.