Aetna denies E/M visit - cpt 99212/ 99213 when billed with radiation code cpt 77401. It denies cpt 99212 as " pre-post operative care payment is included in the allowance of surgery/procedure, start:01/01/1997"
As per Medicare guidelines 'In radiation oncology, evaluation and management CPT codes are not separately reportable except for an initial visit at which time a decision is made whether to proceed with the treatment.
Subsequent evaluation and management services are included in the radiation treatment management
CPT codes." But medicare pays the E/M visits (LCD L34652)
Could anyone clarify any alternate solution so as to get payment from Aetna