Wiki 93923 Included in E/M ?

[pwalker]

I am a cardiology coder/Biller and I have been receving denials from Medicare B for: 250.00 -93923 "ABI" (Denial: Medical Neccesity)


Quest: 1. Do you have to be a registered tech to perform and get paid for ABI?
2. Is 93923 included in the E/M or can I add a modifier?





Thanks
Patrina

 

[Arulkarthik]

LCD check

The denial reason clearly states "not a medical necessity" so pls check the LCD coverage for Medicare Part B.

For 93923 the coverable Dx for diabetes are 250.70-250.73, pls check the documentation for if coverable Diagnosis is available, if so bill that ICD-9.

Thanks
With regards
Arul CPC.

 

[bakr00]

Randi Baker

does these codes require a modifier if all we are doing is the test? (not the interp)
93922 and 93923