Wiki Rhytidectomy for Bell's Palsy

[Sno Hanson]

Does anybody have any hints in billing Palmetto (and getting paid) for this procedure? We billed procedure code 15828 with DX 351.0, 368.40. Medicare denied original claim as well as appeal.

However, LCDs clearly state that "coverage will be provided when functional impairment as a result of a disease state exists (e.g., facial paralysis)". Bell's Palsy is facial paralysis so I don't know how they can deny this procedure.

Any ideas?

Thanks!