mattrobin
Networker
Hi,
I need some help. Our physicians are implanting permanent spinal cord stimulators, and when the pt's come back in for reprogramming/ adjustments (CPT: 95972)- Humana is denying stating not related to diagnosis submitted. Usually, some of the denials I've received are for DX: 724.4-lumbar radiculitis/neuritis. Any ideas? I can not find anything specific on the medical policy as to if there's only specific dx that they allow with this cpt.
Thanks!
I need some help. Our physicians are implanting permanent spinal cord stimulators, and when the pt's come back in for reprogramming/ adjustments (CPT: 95972)- Humana is denying stating not related to diagnosis submitted. Usually, some of the denials I've received are for DX: 724.4-lumbar radiculitis/neuritis. Any ideas? I can not find anything specific on the medical policy as to if there's only specific dx that they allow with this cpt.
Thanks!