Reader Question:
Take Appropriate Steps For Non-Covered LCD Diagnoses
Published on Tue May 12, 2020
Question: Does Medicare restrict coverage to only the diagnoses listed under the code’s Local Coverage Determination (LCD)? If so, are you able to appeal in order to argue medical necessity with a non-covered diagnosis? California Subscriber Answer: If you know you are submitting a claim with a diagnosis code that is not covered based on the CPT® code’s LCD, you [...]