Wiki Injection code 20552

[Ash82]

I am having trouble getting medicare to pay claims for the code 20552. Most of the injections are done in the low back area for low back pain. I am submitting the claims with the diagnosis code 724.2, which medicare is denying. I'm not sure what other icd-9 code to use.

 

[RebeccaWoodward*]

Have you checked with your local LMRP/LCD? 724.2 is not payable for this procedure for our locality.

http://www.cms.gov/mcd/results_inde...ent+Services+(05535)+-+Carrier&letter_range=4

 

[kdsampson]

Under our locality, Medicare doesn't cover 724.2. If you check the LCD under Medicare's website for 20552 it will list the diagnosis codes that are considered medically necessary for 20552.

I hope this helps, good luck!

 

[Ash82]

That is a HUGE help and answers my question. Thank you so very much.