Wiki Ribs

[kalpana]

CPT 21811 most payers deny this procedure as investigational.
Please advise.
Thank You
Kalpana

 

[iowagirl77]

You would have to review each payer's policy on this to see if this applies to your patient, but I found nearly identical responses for Aetna and Amerigroup that explain the conditions of when it is considered medically necessary. This also explains their reasoning for when it is not:
https://medicalpolicies.amerigroup.com/medicalpolicies/policies/mp_pw_c132778.htm
http://www.aetna.com/cpb/medical/data/800_899/0822.html