We have pt that comes in regularly for Xolair injections and we bill and are paid billing it as follows:

96372-RT
96372-LT
96372-RT/59

This pt recently came in for Reclast infusion on same date as Xolair injections. We billed as follows:

J3489 – paid by BCBS
96365 – paid by BCBS
96372-RT – DENIED
96372-LT – DENIED
96372-RT/59 – paid by BCBS

The denial on the two 96372’s denied was CO-97 – This service/procedure is included in a service already paid.

Can anyone tell me how to get the entire claim paid?

Thanks for any assistance you can provide!

Hunter Smith, CPC