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coding issue

G
Wiki Kyphoplasty and Medicare

We have recently received a Medicare denial for a claim billed out for Kyphoplasty. 22513 x 1 22514 x 1 CCI edit states the family of codes (22513-22515) should only list "One" as the primary code and list the other as add on procedure for the additional level, which we normally do when done...
- GMMTimmons
- Thread
- May 12, 2021
- 22513 22514 coding issue kyphoplasty medicare percutaneous vertebroplasty
- Replies: 3
- Forum: Medical Coding General Discussion
B
Wiki Not medically necessary

I am really having trouble in determining as to why most of the insurance denies Autonomic Nerve system Test & heart rate (95923, 95943) for not being medically necessary while the DX I've billed does support the services billed. These codes being billed with a Diagnosis code G60.8. I tried...
- bizmatics
- Thread
- Sep 20, 2018
- benefits not covered coding issue incorrect diagnosis non covered not medically necessary
- Replies: 3
- Forum: Medical Coding General Discussion
B
Wiki Bundling Issue

Hi all, I am getting a rejection from Veteran regarding procedure 29405, 29700, these being denied being bundled. I am just wondering if one can bill Application of leg cast and removal of leg cast at the same time. I would appreciate your help on this. thanks!!
- bizmatics
- Thread
- Sep 18, 2018
- bundling issue coding issue denied inclusive incorrect coding
- Replies: 1
- Forum: Medical Coding General Discussion

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