lcd guidelines

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    Wiki HELP!! RFA/Facet block new LCD's as of 4-25-2021 Florida and Georgia

    Per LCD 33930 and 38765 Under limitations it states We have a 3 level unilateral lumbar RFA being denied due to LCD but from what I am reading we should be able to do a 3 level unilateral RFA. Help What is your interpretation of the LCDs and has anyone else encountered this issue?
  2. L

    Wiki New biopsy codes with diagnosis of rash

    Has anyone seen an update on the Medicare LCD that came out for the new biopsy codes that didn't include the ICD-10 for rash? What are your providers billing to Medicare when this service is performed for this diagnosis?
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    Wiki DME Coding/Reimbursement - A7020 and LCD L33795

    Hello! I'm looking for some insight from anyone with experience billing A7020 to Medicare for mechanical in-exsufflation devices ... the LCD is quite vague regarding accessories/supplies, but I am wondering if anyone has experienced difficulties or limitations billing A7020 for replacement...
  4. D

    Wiki DME Coding/Reimbursement - A7020

    Hello! Anyone with experience billing A7020 to Medicare for mechanical in-exsufflation devices ... the LCD is quite vague regarding accessories/supplies, but I am wondering if anyone has experienced difficulties/limitations billing A7020 for replacement circuits? If anyone with a DME-specialty...
  5. K

    Wiki Surgical and selective debridement documentation requirements

    I'm auditing both surgical and selective debridement procedures (CPT11042-11047, 97597, 97598) and am finding the wound size is always documented, however it varies or is unclear if this measurement occurs before beginning the procedure or after the completion of the debridement. Is there a...
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