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  • Wiki - Z47. 89 surgery aftercare code with UMR - AAPC
    UMR is denying these charges stating the diagnosis is not coded to the highest level of specificity and they are denying our appeals when I send them copies of the aftercare section showing that ICD 10 refers us to Z47 89
  • Telehealth 2025: The Final Rule - AAPC Knowledge Center
    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 is the final word for telehealth services effective Jan 1, 2025, unless Congress acts
  • CPT® Code 95165 - Allergen Immunotherapy Services and . . . - AAPC
    The Current Procedural Terminology (CPT ®) code 95165 as maintained by American Medical Association, is a medical procedural code under the range - Allergen Immunotherapy Services and Procedures
  • Wiki - Billing in network and out of network insurance companies
    I have a patient that has BCBS as primary and UMR as secondary We are out of network with BCBS but in network with UMR I send the claims to BCBS first, get payment back from them and then send to UMR My question is because we are out of network with BCBS we bill our normal amount but when
  • Telehealth visits and modifier for 2025 - AAPC
    Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits as well?
  • Wiki - Consult codes | Medical Billing and Coding Forum - AAPC
    You should double check me, but in general, I know the following do not pay for consult codes: Aetna, AVMED, Cigna, Department of Labor, Kaiser, Medicare, Medicare Replacement Plans, Medicaid, Meritain, United Health Care, UMR, and Tricare Again, you should double check me with your local insurer, especially with the commercial carriers
  • Wiki - Denial codes PI-B10 and PI-B15 - AAPC
    The (UMR) insurance paid for procedure codes 90471 and 90476, but they denied the office visit billed under code 99214 with the denial code PI-B10 When I spoke to a representative from the insurance company, they explained that the denial was due to the payment already being included in another service
  • CPT® Code 0055T - Various Services - Category III Codes - AAPC
    The Current Procedural Terminology (CPT ®) code 0055T as maintained by American Medical Association, is a medical procedural code under the range - Various Services - Category III Codes


















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