sinman0531
Guru
I know this rule exists, but for the life of me I can't figure out what its called/how to find it.
Basically I have a patient who has come in pretty much every other week from July until September and had some kind of excision or destruction done. One of the claims has 3 lines; a destruction, excision and repair, and they are all denying as inclusive, even though they are not within any global period for the previous date of service. I know that Medicare is saying there were too many procedures done, but I just can't find where it says that.
Help?
Basically I have a patient who has come in pretty much every other week from July until September and had some kind of excision or destruction done. One of the claims has 3 lines; a destruction, excision and repair, and they are all denying as inclusive, even though they are not within any global period for the previous date of service. I know that Medicare is saying there were too many procedures done, but I just can't find where it says that.
Help?