Anthem has been denying our 99397 for max benefits, and when our follow-up girl investigates it, she is finding that the patient’s gynecologist has already billed 99397 this year. Is this just an error on Anthem’s part, not acknowledging the diagnosis codes associated with the gyno exam and our primary care preventative exam? Is there something we should be doing differently on our end from a coding standpoint?
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Cpt 87070 denied because of CLIA!
Cpt 87070 keeps on getting denied and its due to our CLIA clearance, we have a level 2 and need a level 1 or 9 to bill this CPT code. Does anyone know of any other CPT we can bill that is close to CPT 87070 description?