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Posted By annie on 03-10-2007, 23:20:00 in Ob-Gyn
i have received a denial for using cpt 76813 saying it's not a valid cpt code. as of what date can we use cpt 76813 which is a new cpt code for nuchal?
any help would be appreciated
thanks
annie
Comments (6)
Posted By Arlene on 03-12-2007, 15:06:00
call the insurance carrier as they may not have updated their database yet.
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Posted By annie on 03-11-2007, 20:39:00
-----Original Message-----
From: Nielynco@aol.com
To: obgyn@codelist.net
Sent: Sun, 11 Mar 2007 4:37 PM
Subject: Re: [obgyn] starting date for cpt 76813
ok, i'll keep that in mind. thanks.

i find that it's a real problem with some payers. they just don't update their computers and i have to appeal claims that should be clean claims. more unnecessary work for us. oh well. what can you do??
You can complain to your state's Insurance Commissioner and cc your state legislators, ACOG and AMA on your correspondence regarding this issue. You can also try and get into your contract that new CPT codes will be accepted as of January 1 of each year.

Melanie Witt, RN, CPC-OGS, MA
Posted By Edwina on 03-11-2007, 03:28:00
Something to keep in mind... Check your state laws, some states afford a penalty to payors (or a higher reimbursement or interest amount) be paid if they deny a clean claim.
Edwina Sprow, CPC
Managing Partner
Sprow Consulting Services, a division of AskLeslie.net

http://www.askleslie.net/about - For details on educational programs and services provided.

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Posted By annie on 03-11-2007, 01:51:00
i find that it's a real problem with some payers. they just don't update
their computers and i have to appeal claims that should be clean claims. more
unnecessary work for us. oh well. what can you do?? thanks melanie.


i have received a denial for using cpt 76813 saying it's not a valid cpt
code. as of what date can we use cpt 76813 which is a new cpt code for nuchal?
any help would be appreciated



January 1, 2007 and there is no grace period. Looks like your payer is not
keeping up with the times. You need to appeal and let them know it is a
valid code and they need to update their system ASAP.

Melanie Witt, RN, CPC-OGS, MA
Posted By Monmouth on 03-10-2007, 23:57:00
annie adler wrote:

>i have received a denial for using cpt 76813 saying it's not a valid cpt code. as of what date can we use cpt 76813 which is a new cpt code for nuchal?
>any help would be appreciated
>thanks
>annie
Posted By Tim on 03-10-2007, 23:51:00
As of Jan 1 07
Tim
On Saturday, March 10, 2007, at 05:17 PM, annie adler wrote:

> i have received a denial for using cpt 76813 saying it's not a valid
> cpt code. as of what date can we use cpt 76813 which is a new cpt code
> for nuchal?
> any help would be appreciated
> thanks
> annie
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