Prolonged service

We sent a claim with 99214-25, 99354....dx codes 401.1, 780.52, and 785.1. Also 17000 with 702.0. Medicare denied the 99354. Are they including it with the 17000 even though they have different diagnosis codes?
Thanks in advance!!

i think

you don't use a -25 with the 99214. There is a time element assoc with the 17000 that they may be counting. also there is a debate about whether you can use 99354 with a 99214 or if you must use the highest code 99215 time element and add it to that. We can't get a good answer to that.