ollielooya
True Blue
Regarding patients who receive bilateral injections with US guidance for a rheumatology specialist: NCCI edits allow one per encounter per the MUE's. I've touched on this question before in the past, but must follow thru again. It still is my understanding that these edits CAN be overridden if warranted by medical necessity and that dr. can bill for RT and LT. One unit will pay and for the other to pay it will require going thru the appeal process with Medicare. The physician would like to know if he should bill out for the 2 units or just leave it at one? Have any of you successfully over-ridden the edits? Just not comfortable advising yet so once again enlisting the support of colleagues here on the forum...