Jul 13, 2017ย ยท Aetna 77387 reimbursement rate We had the same issues with Aetna not accepting 77014. After appeals and disputes with provider representatives and medical directors, Aetna refused โ€ฆ

Feb 12, 2025ย ยท Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants. I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and โ€ฆ

Oct 17, 2025ย ยท BCBS and Aetna are bundling CPT code 90480 (COVID vaccine administration) when billed with COVID vaccine codes 91321 or 91322 AND a flu vaccine (90656) with vaccine admin code โ€ฆ

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Oct 26, 2012ย ยท My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit.the lab bills the lab tests, we bill the venipuncture. Is anyone out there getting paid for the โ€ฆ

May 24, 2019ย ยท Now, I couldn't find Aetna's E/M policy, but I would be very surprised if they decided to deviate too much on that sense. Possible reasons for the denial: -The patient was seen by the same โ€ฆ

Jul 2, 2013ย ยท We have been getting denials from Aetna insurance when billing our 95165. They state you can only bill 120 units for 95165 in a 365 day period or 30 every 3 months. If we use our 120 units โ€ฆ

Apr 13, 2023ย ยท We billed 99215 and G2212 (Prolonged out patient office visit) to Aetna (since provider spent more than 55 minutes) but they paid for 99215 and denied G2212 stating "This claim is being โ€ฆ

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