I'm looking for opinions on whether my argument is correct and if anyone has seen this as well. No other BCBS in any of my other states have this edit and I am unable to find the policy.
Denial- X-ray of cervical, thoracic, and lumbar are denied as not paid separately. None of the codes are paid. We are being asked to use the entire spine x-rays.
Codes: 72040 for cervical, 72070 for thoracic, 72100 for lumbar. Requesting I use 72081-72084.
My argument- No cci edits and...
Read more
Denial- X-ray of cervical, thoracic, and lumbar are denied as not paid separately. None of the codes are paid. We are being asked to use the entire spine x-rays.
Codes: 72040 for cervical, 72070 for thoracic, 72100 for lumbar. Requesting I use 72081-72084.
My argument- No cci edits and...
Read more
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