patient 4 scenario Insurance denial reason: Invalid
patient 4 scenario Insurance denial reason: Invalid CPT authorization-the CPT PRE-AUTHORIZATION WAS NOT FINAL CODED ICD-10-CM Billed: M54.5 LOW BACK PAIN CPT procedures Billed: 64490, injection of therapeutic agent, peravertebral facet joint with imaging guidance at cervical or thoracic region HCPCS level II Billed: J3301 X Kenalog 40 mg A 32 year old patient was experiencing low back pain. The scheduling coordinator called the insurance company as a prior authorization was required. A CPT code was requested by the insurance company to ensure it was covered and the surgery was scheduled. The physician took the patient to the operation room and injected a steroid in the lumbar 1 facet joint. ASSIGNMENT: review the insurance denial information along with the ICD-10CM, CPT, and HCPCS Level II PROCEDURE CODES THAT WERE SUBMITTED TO THE INSURANCE COMPANY, THEN PROVIDE THE CORRECTIONS TO BE RESUBMITTED TO THE INSURANCE COMPANY. SCIENCE HEALTH SCIENCE NURSING MEDICAL BILLING AND CODING MCCG262003
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