clbarry8033
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State of Kansas
If a patient has a systemic disease (Such as DM), but doesn't meet any of the class findings, does the patient still meet medical necessity if they have mycosis of the nail and pain in bilateral feet?
The diagnoses would look something like this: B35.1, M79.674, M79.675, E11.9
I feel like the answer is yes, considering all beneficiaries without a systemic disease do not have to meet these findings.
Thanks!
If a patient has a systemic disease (Such as DM), but doesn't meet any of the class findings, does the patient still meet medical necessity if they have mycosis of the nail and pain in bilateral feet?
The diagnoses would look something like this: B35.1, M79.674, M79.675, E11.9
I feel like the answer is yes, considering all beneficiaries without a systemic disease do not have to meet these findings.
Thanks!