kkasper290
Contributor
HELP!! ![Eek! :eek: :eek:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Is the 24071 excision tumor soft tissue upper arm greater then 3cm only to be done in a facility? We are a derm office and our providers do this in office. We just received a denial from insurance stating.
"place of service 11 has been identified by CMS as a not eligible service preformed in a non-facility setting."
We called the plan hoping they messed up but they confirmed. I am not finding anything in coding books or LCD's that confirms this.
Any help is appreciated.![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
thanks!
Kathy
Is the 24071 excision tumor soft tissue upper arm greater then 3cm only to be done in a facility? We are a derm office and our providers do this in office. We just received a denial from insurance stating.
"place of service 11 has been identified by CMS as a not eligible service preformed in a non-facility setting."
We called the plan hoping they messed up but they confirmed. I am not finding anything in coding books or LCD's that confirms this.
Any help is appreciated.
thanks!
Kathy