Wiki 91065 Breath Hydrogen Test

[allysaron]

My GI doc is billing this in office, but lately we are seeing more Medicare denials for dx. We used to get paid using dx 271.2 or 271.3. I tried searching Medicare for LCD, but there is none. How can I find out what dx codes are payable by Medicare and Commercial carriers? Thanks!

 

[blathrop19@gmail.com]

I know that my doctors have always done this with 787.3 (gas/bloating) and we haven't had any trouble with payment. This may not be the same reason your docs are doing it, but I haven't had many denials with that DX.

Bob

 

[allysaron]

Medicare does not like 787.3 for 91065, but we use that primary for commercial carriers.