Wiki bladder scan being denied

RebeccaB

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we have had some of claims for bladder scans (51798) being denied by Medicare as no medical necessity.(we are in WI) I can't find anything in the LCD/NCD about any changes
any info would be much appreciated
thanks,
Rebecca
Urology Associates
 
We use all of those codes on our Bladder scans (Minnesota) and don't have issues with the medical necessity. I put all the 51798 code in the crosswalk and all 3 dx codes are coming up in there. Maybe you should appeal it.

Machelle Freeman, CPC
 
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I use those codes on bladder scans as well, and have not had any problems. I agree with Machelle, I would appeal.
 
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