PeggySanders
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I need help with Medicare denial. Pt had a carotid angiogram, Dr selectively engaged RT carotid, LT carotid and then the LT subclavian. I billed 36216 for the RT carotid, 36215-59 for the LT carotid and 36215-59 for the LT subclavian and Humana Medicare is not wanting to pay for the subclavian cath placement. I have been searching for a Medicare policy for vascular families and can't locate one. The follow up staff is saying Humana says they won't pay for 2 left sided cath placements. (of course I billed the S&I codes but only having problem with the cath placement denial).
Thanks for any and all help.
Peggy
Thanks for any and all help.
Peggy