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Wiki Fecal Microbiota Transplant (G0455) and Palmetto

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clarkmegan

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Has anyone had any luck getting Palmetto to pay G0455? They are denying stating it is not medically necessary. We were a part of the transition from Cahaba to Palmetto, and Cahaba always paid. Any advice? I found this link and it does not look like Palmetto covers this code :

https://www.cms.gov/medicare-covera...t&CptHcpcsCode=G0455&kq=true&bc=IAAAACAAAAAA&
 
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