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 to bill with rt and …

Jul 15, 2024 · I was also researching as the big commercial insurances have and or are in the process of adding policies specific to G2211 - Here is what I located from Aetna- Hope this helps

Oct 17, 2025 · BCBS and Aetna are bundling CPT code 90480 (COVID vaccine administration) when billed with COVID vaccine codes 91321 or 91322 AND a flu vaccine (90656) with vaccine admin …

Nov 11, 2017 · Hi all, 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 with an …

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 seen by the same …

Mar 26, 2025 · Is anyone else noticing Aetna E/M claims being randomly downcoded without any justification? We have had many 99214 downcoded to 99213, even though the MDM supported the …

Jul 2, 2013 · We have been getting denials from Aetna insurance when billing our 95165. They state you can only bill 120 units for 95165 in a 365 day period or 30 every 3 months. If we use our 120 units …

The Current Procedural Terminology (CPT ®) code 64454 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic …

Mar 8, 2023 · Wiki Aetna denials for 59425 and 59426 - want # of units - denying 1 unit- and want all dates on claim?

The Current Procedural Terminology (CPT ®) code 29881 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy/Arthroscopy Procedures on …