mardi 8 mars 2016

Help please 90837 with dx 309.81 being denied by Humana

My billing department has submitted a claim for 90837 with dx 309.81 to Humana (dos 07/31/15). It was rejected, reason being dx309.81 is not a supported dx for cpt 90837. We submitted the medical record to Humana and it was again rejected, reason being the notes did not support the dx with the service billed. What can we do? Is 309.81 not a supported dx for cpt 90837?? Any help is appreciated.

Thank you.

Susan M

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Help please 90837 with dx 309.81 being denied by Humana