Wiki Denial Renal Stent

[jpfews]

I need tricks on getting renal artery stents paid. I used CPT code 37236 and the only dx codes I had were I70.1, I72.2, I10., N18.4. I know none of these codes are payable as per the CMS LCD policy. I only have a vascular study that shows severe bilateral renal artery stenosis and a small renal aneurysm. Exam shows no pain or claudication.

 

[NiteshlalKoyalkar]

hi,
do an appeal with medical records explaning the medical necissity.
do not follow trick which may lead you to an problem in OIG audit.

 

[jpfews]

Thanks!