Wiki L5000

[billybrandle1964]

I sumbitted claim to humana medicare for diabetic shoes. with regular inserts for left foot and L5000 with mod rt and 1 unit. L5000 was denied for MUE. can anyone help me to code this correctly to get paid? i am not sure i understand MUE? thanks

 

[billybrandle1964]

l5000

herer is what my claim looked like and i believe we submitted correctly but they are using MUE that was triggered in suystem not to pay the claim, even though documentation shows that this was medically necessary.

A5500 rt 1 unit
A5500 Lt 1unit
A5513 lt 3 units

L5000 Rt 1 unit