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Old 06-08-2010, 07:45 AM
steele08 steele08 is offline
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Default Injection code 20552

I am having trouble getting medicare to pay claims for the code 20552. Most of the injections are done in the low back area for low back pain. I am submitting the claims with the diagnosis code 724.2, which medicare is denying. I'm not sure what other icd-9 code to use.
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Old 06-08-2010, 07:52 AM
RebeccaWoodward* RebeccaWoodward* is offline
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Have you checked with your local LMRP/LCD? 724.2 is not payable for this procedure for our locality.

http://www.cms.gov/mcd/results_index...letter_range=4
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Old 06-08-2010, 08:54 AM
coding_crazy coding_crazy is offline
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Under our locality, Medicare doesn't cover 724.2. If you check the LCD under Medicare's website for 20552 it will list the diagnosis codes that are considered medically necessary for 20552.

I hope this helps, good luck!
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Old 06-08-2010, 08:56 AM
steele08 steele08 is offline
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That is a HUGE help and answers my question. Thank you so very much.
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