jojokat
Networker
Provider performed a 44160, 47100 and 49905. Cahaba is denying the 49905, omental flap, stating that "the related or qualifying claim/service was not identified on the claim". I contacted Cahaba, but they were of no help. There is not an NCD nor LCD for the procedure and it doesn't hit on any of the CCI edits.
Does anyone know what qualifying or related service they are referring to? I have been unable to find this information to get this service paid.
Any help would be greatly appreciated.
Thanks,
Josie
Does anyone know what qualifying or related service they are referring to? I have been unable to find this information to get this service paid.
Any help would be greatly appreciated.
Thanks,
Josie