BCBS denying payment for 99202 and 99203.....

[Guest guest]

OK, I don't take a lot of insurance but I just got some payments for BCBS; they

denied 99203 and 99202 for reason " N01: This procedure is considered incidental

to or part of the primary procedure per National Correct Coding Guidelines "

I believe they are referring to my 98940 or 98941. This is garbage as I had to

do pretty substantial histories and exams on these patients and coded

accordingly. In the same payment, they paid for a 99203 combined with a 97140

and no 989XX code.

What did we do to ourselves to allow insurance companies to pay us $28-$48 for a

98940 and 98941 AND include any E & M code in that payment???

Here's the deal; I really don't want to spend much time with this as most of my

practice is cash and if I spend an hour on fixing it and appealing, I've lost

money..... Just wondering if anyone else had problems like this and what you did

to remedy it.

-Tim Irving DC, MS, LMT