Apr 13, 2023 · We billed 99215 and G2212 (Prolonged out patient office visit) to Aetna (since provider spent more than 55 minutes) but they paid for 99215 and denied G2212 stating "This …

May 24, 2019 · Now, I couldn't find Aetna's E/M policy, but I would be very surprised if they decided to deviate too much on that sense. Possible reasons for the denial: -The patient was …

Feb 12, 2025 · Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants. I coded 19342 with modifier 50 and aetna only paid for one side, do i need …

Dec 3, 2025 · Hello! Aetna has been denying our telehealth visits billed with modifier 93 when the video connection fails and the visit is completed as audio-only. (99214-93) I called and spoke …

Oct 17, 2025 · BCBS and Aetna are bundling CPT code 90480 (COVID vaccine administration) when billed with COVID vaccine codes 91321 or 91322 AND a flu vaccine (90656) with …

Nov 4, 2021 · I called Aetna and was told they pay the first provider that sends in their claim with this code no matter how many consulting doctors there are. I know they do not recognize …

Jul 15, 2024 · I was also researching as the big commercial insurances have and or are in the process of adding policies specific to G2211 - Here is what I located from Aetna- Hope this helps

Oct 26, 2012 · My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit...the lab bills the lab tests, we bill the venipuncture. Is anyone out there …

Aug 8, 2019 · We had a claim for 99222 that was denied by Aetna since another provider had billed for it first. We are the attending physician (and was the one who asked for a consult with …

May 1, 2025 · Is anyone having issues with billing Modifier 78 for Aetna insurance? We billed a ESWL in January and we were paid, and then patient went back for another ESWL almost 3 …