konichiwa
New
Hello,
Reimbursement issue regarding 26145 and exceeding the MEU of 6 by 3 units.
Scenario:
Provider bills 26145 x 9, exceeding the MUEs by 3 and states in the Op report that a "copious amount of hypertrophic tenosynovium was noted on the nine flexor tendons in the palm and a careful and sharp tenosynovectmoy of the nine tendons in the palm was then performed," would this statement satisfy MAI 3 requirement?
If so, why?
if not, why not?
if I could get a link to support either decision, this would be extremely helpful.
Thank you!
Reimbursement issue regarding 26145 and exceeding the MEU of 6 by 3 units.
Scenario:
Provider bills 26145 x 9, exceeding the MUEs by 3 and states in the Op report that a "copious amount of hypertrophic tenosynovium was noted on the nine flexor tendons in the palm and a careful and sharp tenosynovectmoy of the nine tendons in the palm was then performed," would this statement satisfy MAI 3 requirement?
If so, why?
if not, why not?
if I could get a link to support either decision, this would be extremely helpful.
Thank you!