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Cardiology Coding Alert

Reader Questions:

Here’s How to Handle Non-Covered LCD Diagnoses

Published on Fri Aug 21, 2020

Question: Does Medicare restrict coverage to only the diagnoses listed under the code’s Local Coverage Determination (LCD)? If so, can we appeal and argue medical necessity with a non-covered diagnosis? Maine Subscriber Answer: If you know you are submitting a claim with a diagnosis code that is not covered based on the CPT® code’s LCD, you have a few options. [...]
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