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 …

Feb 12, 2025 · Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants. I coded 19342 with modifier 50 and aetna only paid for one side, do i need …

May 1, 2023 · Just an FYI to the article from the author: The use of the -93 modifier is currently active, but optional. CMS has stated that the -95 modifier is for Telehealth services through …

Through Dec. 31, 2024, there are no geographic restrictions for patients or providers. For Medicare, use the place of service code that identifies where the patient is located: POS 02 …

Oct 25, 2010 · per Encoder these 2 codes are not bundled. The report combines the findings into one but is clearly two approaches. The insurance I am having an issue with is Aetna. They are …

CPT Code 64454, Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic …

May 24, 2019 · Now, I couldn't find Aetna's E/M policy, but I would be very surprised if they decided to deviate too much on that sense. Possible reasons for the denial:-The patient was …

Mar 7, 2023 · If you search the forums for Aetna and 69210 you'll find multiple threads reporting issues with Aetna denying 69210 with an E&M billed with modifer 25. This seems to be some …

Jul 13, 2017 · We had the same issues with Aetna not accepting 77014. After appeals and disputes with provider representatives and medical directors, Aetna refused to accept 77014. …

Nov 11, 2017 · 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 even tried …