Wiki - Z47.89 surgery aftercare code with UMR - AAPC
Apr 3, 2018 · UMR is denying these charges stating the diagnosis is not coded to the highest level of specificity and they are denying our appeals when I send them copies of the aftercare section …
Wiki - Telehealth visits and modifier for 2025 - AAPC
Dec 18, 2024 · Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits as well?
Wiki - UMR AND SUREST | Medical Billing and Coding Forum - AAPC
Jun 24, 2025 · We are getting paid out of network with UMR and SUREST. When I call and talk to a rep, they do see we are in network, they send the claim back for reprocessing, the claim comes back …
Wiki - UMR Voiding Prior Authorizations? - AAPC
Jul 12, 2025 · We have noticed UMR will void codes submitted for prior authorization stating "Included with Primary Code Review". Example: We submit authorization for 97162, and 97110. They void the …
Bill G2211 With Confidence (and Modifier 25) - AAPC
Feb 3, 2025 · Providers and patients both reap the benefits when this add-on code is used correctly. HCPCS Level II add-on code G2211 recognizes the ongoing Providers and patients both reap the …
CPT® Code 95165 - Allergen Immunotherapy Services and ... - AAPC
The Current Procedural Terminology (CPT ®) code 95165 as maintained by American Medical Association, is a medical procedural code under the range - Allergen Immunotherapy Services and …
Wiki - Consult codes | Medical Billing and Coding Forum - AAPC
Sep 19, 2019 · You should double check me, but in general, I know the following do not pay for consult codes: Aetna, AVMED, Cigna, Department of Labor, Kaiser, Medicare, Medicare Replacement …
This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 forms (CMS 1450). Coding methodology, industry-standard …
Wiki - Issues with UMR Credentialing and Claim Denials
Feb 21, 2025 · Hi everyone, Has anyone experienced issues contracting with UMR? They require the credentialing process to be completed through UHC, which we have already done for our providers. …
CPT® Code 81002 - Urinalysis Procedures - Codify by AAPC
The Current Procedural Terminology (CPT ®) code 81002 as maintained by American Medical Association, is a medical procedural code under the range - Urinalysis Procedures.