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lcd guidelines

J
Wiki Palmetto GBA New LCD for Outpatient Psychotherapy

LCD A59723 LCD L39853 Is anyone else with Palmetto GBA in in the behavioral health field that is struggling with the list of covered diagnosis in the new LCD's A59723 and L39853? The CPTs included in Group 1 in A59723 include psychotherapy with and without EM services, psychotherapy for crisis...
- joann4_2000
- Thread
- Nov 1, 2024
- lcd guidelines palmetto gba
- Replies: 1
- Forum: Compliance General Discussion
E
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?
- elshelton
- Thread
- Jun 21, 2021
- 3rd level of rfa denied lcd guidelines pain management rfa nerve ablation
- Replies: 1
- Forum: Medical Coding General Discussion
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?
- LisaJ0867
- Thread
- Apr 11, 2019
- biopsy lcd guidelines rash
- Replies: 3
- Forum: Dermatology
D
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...
- dchm43@yahoo.com
- Thread
- Nov 2, 2018
- dme lcd coverage lcd guidelines medicare billing
- Replies: 0
- Forum: Medicare Regulations
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...
- dchm43@yahoo.com
- Thread
- Oct 29, 2018
- dme dme billing lcd guidelines medicare billing supplies
- Replies: 0
- Forum: Billing/Reimbursement
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...
- klgpearl@gmail.com
- Thread
- Mar 15, 2017
- debridement lcd guidelines wound care
- Replies: 4
- Forum: Dermatology

Tags

lcd guidelines

Wiki Palmetto GBA New LCD for Outpatient Psychotherapy

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

Wiki New biopsy codes with diagnosis of rash

Wiki DME Coding/Reimbursement - A7020 and LCD L33795

Wiki DME Coding/Reimbursement - A7020

Wiki Surgical and selective debridement documentation requirements