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Neurology & Pain Management Coding Alert

You Be the Coder:

Reverse Your SCS Analysis Denials

Published on Wed Dec 23, 2015

Question: A few months ago, Medicare started denying all our claims for spinal cord stimulator analysis. The reason is “service not covered and not medically necessary.” We’re reporting codes 95970-95973. What do we need to do to get paid again? Virginia Subscriber Answer: There are not any CCI edits between the 95970-95973 codes and the E/M or spinal cord stimulator [...]
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