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It is typical for a patient to have surgery performed on the second eye before the 90 day global period for the first surgery has ended For years, i have billed these claims in a particular format and they have been paid Now i am suddenly getting denial code 107. Medicare denial codes « on

Hi everyone, i work for a provider in florida and didn't realize that 45380 is not covered under medicare lcd before to bill it for a patient who was seen at out patient center for colonoscopy, flexible With biopsy, single or multiple Is there any other code which i can bill to medicare and get it paid Billing codes = 45380 with k57.30 and secondary dx code is z86.010 denial info

We were given this denial reason by bcbs of mi and it is the first we've ever heard of it

We were also told that the claims are paid on a first come first served basis, therefore if 3 or more providers billed for services that week only the first 2 claims would be paid and all the rest would be denied. Hello trying to figure a denial on a vision claim Initially we had billed 92134 and a 99213 and then later added the 92083 as it was left off the claim by accident We have billed these items together many times and have never had an issue so not sure why were are getting the denial now

I got same denial from medicare 151 Payment adjusted because the payer deems the information submitted does not support this many/frequency of services I am getting co 45 denial codes that i am not getting paid anything for There are no other denial codes of explanation and the whole claim is effectively denied.

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