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  1. Wiki - McKesson Edits | Medical Billing and Coding Forum - AAPC

    Aug 28, 2008 · Does anyone have any information on the McKesson edits? Are they different from the CCI edits? I know Medicare and some insurance companies follow CCI, but not all. If so, where do …

  2. McKesson Edits? | Medical Billing and Coding Forum - AAPC

    Oct 16, 2019 · The McKesson edits are unbelievable, to say the least. They bundle codes together that are not bundled per NCCI edits and we are constantly fighting with mainly Blue Cross due to them …

  3. COVID-19 / Flu A&B Antigen Test | Medical Billing and Coding Forum

    Nov 19, 2025 · Is 87428 the correct code for Respiratory Test Kit McKesson COVID-19 / Flu A&B Antigen Test (Professional) 25 Tests CLIA Waived done in a providers office? This is a nasal swab …

  4. Wiki - NCCI Edits vs. McKesson edits | Medical Billing and ... - AAPC

    Jan 21, 2021 · Does anyone know why different payors use different edit programs? What is the difference between NCCI Edits and McKesson edits? Sometimes, we get denials from payors even …

  5. Wiki - When McKesson edits contradict commercial insurance AND

    Jul 28, 2011 · Unfortunately, McKesson does not have to follow the CMS guidelines, they can set up their own edits. But when it comes to appealing claims we can sure use the CMS guidelines as a …

  6. Wiki - Mckesson Edits | Medical Billing and Coding Forum - AAPC

    Mar 2, 2012 · does anyone know that rules for the McKesson Edits? and/or how they are different than the CCI edits? Specifically, I work for a radiologist company and we only do the reading for a hospital …

  7. Wiki - Coding rapid covid test and rapid flu A/B test done in ... - AAPC

    Oct 14, 2024 · Is 87428 the correct code for Respiratory Test Kit McKesson COVID-19 / Flu A&B Antigen Test (Professional) 25 Tests CLIA Waived done in a providers office? This is a nasal swab …

  8. Does BCBS follow NCCI? | Medical Billing and Coding Forum - AAPC

    Nov 1, 2019 · Per my last conversation with a Michigan claim rep, they aren't quite sure either :LOL:. I use the McKesson Clear Claim Connection as that is what is attached to their provider portal but I …

  9. 87811 COVID 19 Rapid test | Medical Billing and Coding Forum - AAPC

    Feb 1, 2021 · Our rapid test is only for Covid, cpt 87811, direct optical. McKesson is also stating this is the correct code with the QW modifier. Is anyone getting paid on this code by UHC?

  10. Wiki - 90460 denials from McKesson edits | Medical Billing and ... - AAPC

    Aug 25, 2017 · We recently got a denial from Cigna disallowing the 90460 when billed with 90651. They use the Clear Claim Connection through McKesson and when I went on there it also disallowed the …