You Billed 99214. The Payer Paid 99213. Now What?
Section Analysis by Susanna Bekirova, Billing Department, WCH
Editorial note: This article reflects AACAP advocacy documentation, published BCBS policy notices, and state legislative developments available as of October 2026. Payer downcoding policies and appeal rights vary by state, plan, and contract. Practices should verify current requirements with their specific payer contracts and qualified billing counsel. This article is for informational and educational purposes and does not constitute legal or compliance advice.
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