Forum - Questions & Answers

Jul 27th, 2016 - lholbert77

diagnosis denial

we billed CPT® codes 64635 w/LT modifier and diagnosis codes M47.816 and M47.817 and on the same claim we billed 64636 w/LT modifier and the same diagnosis codes as with the 64635. The insurance company has denied stating invalid diagnosis. Any suggestions on this one? Thank you!!!



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