March 5, 2020
One of our major payors will not pay a 92504. They state that it is included in the office visit. Any suggestions on how we can get this paid?
You could appeal by saying “even Medicare pays for it.” Otherwise, if you are contracted with the payor, then you’ve agreed to their payment rule which apparently is not to pay.
*This response is based on the best information available as of 03/05/20.