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The LCD and article are stumping me in their verbiage for the medical necessity of the knee brace L1851. The LCD L33318 states:
[QUOTE]
Knee orthoses L1832, L1833, L1843, L1845, L1851 and L1852 are ... [ Read More ]
[QUOTE="kris1275, post: 494180, member: 666780"]
Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipment already being used. ... [ Read More ]
We are a physicians office contracted to provide back and knee braces.
Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipm... [ Read More ]
Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipment already being used. Also the same for a replacement knee brace L1833-... [ Read More ]
I had the same denial - I had never even heard of competitive bidding and I called Noridian and was told that because we are a physicians office and only give spinal/knee braces to our own patients, w... [ Read More ]
We received denial for a knee brace (L1833) from Noridian DME- M115- this item denied when provided to this patient by a non-demonstration provider. It advised there are no appeal rights. We are autho... [ Read More ]
Hey all,
I have been dealing with an ongoing situation with UHC regarding a knee brace dispensed to a patient (L1832). The claim was initially denied due to lack of documentation. I faxed the imagi... [ Read More ]
One of the surgeons I bill for dispenses L1833 knee braces to some of his outpatient surgery patients. United Healthcare commercial plan used to pay for these braces, but around April 2018, it stoppe... [ Read More ]
Let's see.. I didn't even think of this, I wasn't the one who originally posted the charges but good thought!!
99214 25
M75.21
M19.011
M19.131
S62.001P
20550 RT
M75.21
J1040
M75.21
73030 RT
M75.... [ Read More ]
I wanted to see what other people thought first.
We originally billed:
99214-25
20550 RT
J1040
73030 RT
73110 RT
L1833 RT KX
With the injection, the doctor that saw this patient actually showed me... [ Read More ]
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