kala.baxter
New
Hello,
Any help is much appreciated!
I work for Pain Management. We deal with pts that have Lumbar Radiculopathy and Lumbar Spondylosis. From my understanding we need to use M47.26 Lumbar Other Spondylosis with Radiculopathy. My providers have stated that the pt could have 2 different managed options for this Dx. So on our office note for the pt we would have M47.26 with 2 Assessments and 2 different plans. An example would be the provider recommends a MBB for the Spondylosis. At this time for the MBB the Dx would go to M47.896 Other Spondylosis. Our Billing MAnager is worried that payors will deny once there system picks up that we haven't used M47.896 before but we used M47.26 due to pt also having radiculopathy with the understanding of the LCD shows an MBB will not be covered with pts that have radiculopathy.
Does anyone have experience with this or any thoughts?
Please help. I can not get any help on this at all.
Thanks!
Any help is much appreciated!
I work for Pain Management. We deal with pts that have Lumbar Radiculopathy and Lumbar Spondylosis. From my understanding we need to use M47.26 Lumbar Other Spondylosis with Radiculopathy. My providers have stated that the pt could have 2 different managed options for this Dx. So on our office note for the pt we would have M47.26 with 2 Assessments and 2 different plans. An example would be the provider recommends a MBB for the Spondylosis. At this time for the MBB the Dx would go to M47.896 Other Spondylosis. Our Billing MAnager is worried that payors will deny once there system picks up that we haven't used M47.896 before but we used M47.26 due to pt also having radiculopathy with the understanding of the LCD shows an MBB will not be covered with pts that have radiculopathy.
Does anyone have experience with this or any thoughts?
Please help. I can not get any help on this at all.
Thanks!