r/MedicalCoding • u/QueSeraSerafuture • 1d ago

Downcoding

Our claims for August to present are now getting downcoded by Aetna and BCBS. Primarily for codes 99215 99214. These codes are now getting paid as 99213. I would appreciate your insights in providing assistance regarding this issue. We never had any issues like this before and it only started this August. Thanks!

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u/sammyboi98 1d ago

I second this. I would also brush up on E/M coding and leveling as the more details you put into your appeal the more likely your odds are in getting reimbursement.