Wiki Medicare Denial for 63048

kibbit99

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Medicare has been denying 63048 when this is billed:

63047
63048

Denial states 63048 requires qualifying procedure. Has anyone else had this problem with Medicare? Is there a glitch?

Thanks,

Kim
 
Maybe they just want the op report

Maybe they just want the op report to verify.

We get this a lot with skin grafts on children (15100 and 15101 for example) where the unit is each 1% of TBSA. One young patient recently got grafts over 14% of body so we had 15100 and 15101 (x 13)!

Once we sent the op report to verify the extensive nature of the grafts we were paid.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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