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Showing posts with the label Insurance Updates

BCBS Updates to Billing CPT 99080 & 99499

The Centers for Medicare and Medicaid services are allowed to submit claims with 12 diagnoses in CMS 1500 form. However, some of the practice management systems will limit the diagnoses to fewer than 12 diagnoses. If any practice management system limits the number of diagnoses to fewer than 12 and the supplemental claims can be submitted with E&M Codes with $ 0.01 or $0.00 based on whether the system allows it. Billing and Coding Guidelines The simple question is, how to capture all the diagnosis and billed it out to Florida Blue Insurance?.    Submit a second line item with CPT 99080 other than the first 12 diagnoses. Initially, the BCBS accepted only CPT 99080 for additional diagnoses but now, the BCBS insurance will allow to bill CPT 99499 as well for the additional diagnoses.  The BCBS can accept a zero-dollar charge ($0.00), or a penny charge ($0.01) if your system does not allow zero-dollar charges.    If the claim is electronic, use frequency code “0.” This code will deny a