I am working on ER account and have been getting a couple of denials on some accounts where they do provide 80053, 84443 and 85025 and the insurance wants to delete those codes and change it to a general health panel.

Someone did tell me that since it is an ER visit this doesn’t apply. I have been looking up online to see if there is a rule on this (the biller needs this for documentation) but I am unable to find anything online. I did look at the CPT book and it does say look like they can replace the codes provided with 80050. When I think of general health panel I don’t think of an er visit. The Insurance is CHAMPVA..I see over 600 (ER) accounts a day and I never seen this code before. Please help.

I work on ER account and have been getting a lot of denials on some accounts where they do provide 80053, 84443 and 85025 and the insurance wants to delete those codes and change it to a general health panel. Someone did tell me that since it is an ER visit this doesn’t apply. I have been looking up online to see if there is a rule on this (the biller needs this for documentation) but I am unable to find anything online. I did look at the CPT book and it does say look like they can replace the codes provided with 80050. When I think of general health panel I don’t think of an er visit. I see over 600 accounts a day and I never seen this code before. Please help.