Denials for Cervicocerebral Codes!

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Question:

Several payors are denying certain cervicocerebral codes when appropriately billed together. For example, an internal carotid angiogram (36224) and a vertebral angiogram (36225). I know these are correctly reported together, so what do I do with these denials?

Answer:

We see denials for this accurate code combination from many payors. Appeal this denial, attach a copy of the CPT page that specifically states these codes may be reported together. Additionally, include documentation showing there is no Medicare CCI edit (for example, from the Medicare website or your coding software). This may take perseverance on your part, but if you are reporting these code combinations correctly, continue to work with the payor(s) to have these procedures paid!