grandmacora
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We have been trying to get a claim paid since January for an intra-articular cortisone injection of the shoulder through a Medicare replacement plan, Universal Health Care Insurance Company. We billed 20610 with 715.91 and 719.41. The insurance company keeps stating that per the LMRP code L18093, the diangosis does not support procedure code 20610. This policy, however, pertains to hyaluronate injections. I have appealed with this information and they continue to deny. I have spent hours on the CMS web site and for Wisconsin, the only LMRP I can find for CPT 20610, is the one relating to hyaluronate injections. Do you know where I can get LMRP that shows 20610 not related to hyaluronate injections or any other suggestions?? Thank you!!