You Be the Coder:
Know Whether to Double Your Kyphoplasty Diagnoses
Published on Thu Nov 26, 2015
Question: A patient underwent kyphoplasty, which we coded with 22514 and diagnosis M80.08XA. Medicare denied the claim based on medical necessity. I didn't find any "red flags" for that diagnosis when I checked the LCD. Is there another ICD-10 code I need to include to prove medical necessity? Codify Subscriber Answer: According to the Medicare LCD crosswalk, the Medicare policies of some [...]