Reader Question: Payer Rejecting New Codes? Report to AMA
Question: We already have payers that are rejecting the new CPT® codes. They are not stating that the codes aren’t valid for the procedure we are performing, but rather stating the codes are not valid at all. How should we handle this?
Georgia Subscriber
Answer: If you are correctly using a valid, new CPT® code that went into effect on Jan. 1, 2013, then you should appeal the claim. Be sure that you are using a valid code for the proper procedure and that you have checked your payer’s local coverage determination (LCDs) and the national...
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