99292 isn't a consult code; it is the add-on code for additional critical care time. If that is a typo, and a different consult code was billed--Medicaid doesn't allow consults; the code will have to be crosswalked to the appropriate in/out patient E/M code.Originally Posted by tmoss1
Can anyone help with this? We billed the patient's primary insurance for a consult cpt 99292. In each claim the primary insurance paid and applied a copay or applied the allowed amount to the patient's deductible. When we billed the patient's secondary insurance Medicaid they denied it as non covered. Can we bill the patient or do we have it write it off and receive nothing for the ones applied to the pt's deductible?
Meagan Strauss, CPC, CEMC
Coding Coordinator
The NeuroMedical Center
Baton Rouge, LA
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Medicaid denial