Wiki Therapeutic Activities and Lcodes

apoland

Networker
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Hello,

We have been issued a denial siting Medicare Guidelines, for L3999 when billed with 97530. We supplied the MAC with appropriate information to support unlisted code and were issued a denial stating bundled to 97530 per Medicare policy. I can't find a Medicare policy that indicates therapeutic activities includes any type of splint provision. Could someone assist me with locating this or confirm this is an incorrect denial?

Thank you,
Autumn
 
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