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Wiki CPT 99152 WITH CPT 64450

Thread starter springerm@mmri-ny.co
Start date Dec 14, 2021

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springerm@mmri-ny.co

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Dec 14, 2021

We have billed several dos with CPT 99152 and 64450and Medicare continuosly denies CPT 99152 as "referring provider not eligible to refer service billed. This is billed with POS as Surgery Center. The referring provider is the provider of service. They are also denying CPT 99152 as CO50 "not deemed a medical necessity". Can somebody please shed some light as to why they are denying these please?

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