Re: Help! They Won't Use 43847!

[Guest guest]

I don't know what to tell you, but since I have my appointment with

on the 12th, I'm going to bring this up as a bone of

contention. They need to know how to bill this, or I'm not going to

do the surgery! Thanks for that info!

Donna

> Hi All,

>

> Have you EVER heard of this one? The medical (coder) biller for my

> surgeon's office won't use CPT code 43847. I had my LAP DS on 1/23

> with Dr in Portland. I was her first DS in private

practice

> so the medical biller has no DS insurance experience. She's a real

> stickler for details and tells me that 43847 is an OPEN DS code and

> it would be fraud for her to use that code. Instead she insists

upon

> using 43659 which is an " Unlisted Lap code for abdominal surgery " .

>

> Well, my claim was processed and has been denied. She said that she

> will rebill using the same (43659) unlisted code and a letter from

my

> surgeon. I have BCBS Federal and I know of at least 20 patients

that

> they have covered the DS using 43847. I am so frustrated I want to

> SCREAM! Help! Any advice or experience here?

>

> Thanks,

>

>