ICD-9 code 336 for Other diseases of spinal cord is a medical classification as listed by WHO under the range -HEREDITARY AND DEGENERATIVE DISEASES OF THE CENTRAL NERVOUS SYSTEM (330-337).
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You would just bill the OV. The Ambulance provider would code their claim with a QM and/or other destination modifiers.
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The medical necessity for doing so is what carrier auditors look at.
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