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 is the final …

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

Feb 3, 2025 · Providers and patients both reap the benefits when this add-on code is used correctly. HCPCS Level II add-on code G2211 recognizes the ongoing Providers and patients both reap the …

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 …

Jun 2, 2025 · But only one is reimbursable under Medicare. For calendar year 2025, the American Medical Association (AMA) introduced a new set of telemedicine codes

Oct 26, 2012 · My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit...the lab bills the lab tests, we bill the venipuncture. Is anyone out there getting paid for the …

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 …

Feb 11, 2025 · Aetna has a downgrading policy that they base the level of service on what's provided on the claim - if there's something in documentation that substantiates the level of service, appeal.