Forum - Questions & Answers

Jan 10th, 2012 - Roseena11 9 

CPT® 94664 denied by CIGNA

Claim denied stating This procedure code represents services that are not usually performed on the same DOS. Use a different surgical approach or overlap the services of another procedure submitted on this claim
Anyone pls help me to find out a solution for this..Is there any alternate Cigna payable CPT

Jan 10th, 2012 - nmaguire   2,606 

re: CPT® 94664 denied by CIGNA

What else was billed at same encounter?

Jan 10th, 2012 - Roseena11 9 

re: CPT® 94664 denied by CIGNA

99215-25 & 94760. CPT® 94760 also denied as inclusive

Jan 10th, 2012 - nmaguire   2,606 

re: CPT® 94664 denied by CIGNA

Respiratory Treatment - Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB devise (CPT® 94664) is considered mutually exclusive to an office visit. Separate reimbursement is not
provided for Mutually Exclusive services.
http://www.entnet.org/Practice/upload/Cigna-Code-Editing-Guidelines.pdf
Code 94760 will not be paid separately, included in E/M.

Jan 10th, 2012 - Roseena11 9 

re: CPT® 94664 denied by CIGNA

Thanks a lot

Jan 18th, 2012 - billings123 74 

re: CPT® 94664 denied by CIGNA

I add a mod "59" and gets paid.



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