medicare denial

  1. E

    Wiki I need NCCI quarterly edits for 4th quarter 2019

    Does anyone know where I can find these or have an archived copy you could send me? Thanks!!! Eve
  2. S

    Wiki Denial for billing 77427 with 77770

    57126 77295-26 77770-26 77427 Each was billed at POS 22, each as one unit of service, each were billed with the same from and thru date (02/01/2019) and Medicare paid everything but the 77427. I have narrowed down that the conflict is between 77770 and 77427. Medicare denies stating an...
  3. W

    Wiki Has something changed with MCR and G6001?

    Our company has billed out G6001 (26) and G6017 for a long time to Medicare and have been paid on every single one, but it seems that since Sept. 1 the G6001 (26) is being denied as being inclusive to the other code:confused:. This has not happened before. Any thoughts as to why this could be...
  4. K

    Wiki Medicare CCI Edits

    HI! I am having trouble getting pass the Medicare CCI edits for CPT 20611. My doctor did a corticosteroid injection to help treat Piriformis Syndrome. The CCI edit that I am running into is as follows: [Medicare] Per Medicare's Local Coverage Determination (LCD) policies, procedure code 20611...
  5. F

    Wiki Denial for J0735 Clonodine Medicare

    I work with a Pain Management Specialists & we several patients with pain pumps. We provide several patients with Clonodine J0735 in their pain pumps. We have billed up to 60 units and never got denied with Medicare. Now they are denying this with CO-151 for frequency of testing/units. I have...
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