I have a commercial payer bundling 76377 into 93306 charge on same date. Is there a way to avoid this denial?
Thanks
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Tag Archives: 76377
Help! CMS and cpt code 76377
Hi I was denied payment for code 76377 by Medicaid because they claimed that a code 76377 has a limit of 3x on a claim according to CMS. I have looked in the CPT 2016 code book and the AMA Guidelines but I have not seen any indication of this. I plan on appealing but did anyone hear about a limit of 3x for code 76377 per procedure?
Thanks,
Leorah