I was curious if anyone gets paid for this code when billing with 85025 from BCBS or Aetna. It gets separately reimbursed by UHC, Golden Rule, UMR and a couple other smaller insurance companies.
I did not know if was worth trying to use a modifier 59 for BCBS. We typically do a Finger-stick/CBC for every annual wellness exam, and the allowed amount is around $ 5 and 90% of our patients have BCBS, so it could be worth trying if anyone else has had luck.
I did not know if was worth trying to use a modifier 59 for BCBS. We typically do a Finger-stick/CBC for every annual wellness exam, and the allowed amount is around $ 5 and 90% of our patients have BCBS, so it could be worth trying if anyone else has had luck.
Thanks!
Kim, CPEDC
PS: I did call BCBS and they told me that it was bundled due to primary E/M service, but I could appeal the claim with documentation.