Wiki Rash Diagnosis for Biopsy

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JoannaRupert

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This is a re-post from last week: Has anyone seen the new LCD # 33445 for Removal of Benign and Malignant Skin Lesions? This is the latest LCD that they added the new biopsy codes to and on that LCD a rash (R21) no longer is allowed to be used as a diagnosis. My physicians use this as a last resort in treating a rash that will not respond to topical medication and if they knew what type of skin condition they would use that diagnosis. Has anyone been able to get this combination paid?
 
LCD is overturned

UPDATE to my original post. A representative from the American Academy of Dermatology called me today to advise that the new biopsy codes are being removed from the LCD L33445 and we will be able to go back and refile the claims to the payers.
 
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