81000 & 81002

Aetna denying the procedure codes 81000 & 81002 stating mutually exclusive each other. How to resolve this issue ?

Can we bill the CPT® 81000 with 59 modifier?

re: 81000 & 81002

Yes Aetna requires a 59 on a urinalysis.

re: 81000 & 81002

Thank you.

However, the insurance (Aetna) says that we cannot performed in the same session.
means !

We cannot bill these codes together. i am i correct ?

re: 81000 & 81002

You are correct. 81000 is dip+microscopy; 81002 is dip without microscopy. You select based on whether you do the microscopy, but you should not be paid for both.

re: 81000 & 81002

Correct you cannot bill these two together. Ithought you meant billing one of them with an office visit.