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lcd coverage

  1. A

    Wiki National Coverage Determination (NCD) to CPT mapping

    Hi, what is the best way to determine the CPT code groups that pertain to a specific NCD code, e.g. NCD codes 160.7, 160.19, 160.1, 230.4, 230.10? Thank you! Annie Lasway CPC
  2. D

    Wiki DME Coding/Reimbursement - A7020 and LCD L33795

    Hello! I'm looking for some insight from anyone with experience billing A7020 to Medicare for mechanical in-exsufflation devices ... the LCD is quite vague regarding accessories/supplies, but I am wondering if anyone has experienced difficulties or limitations billing A7020 for replacement...
  3. K

    Wiki Palmetto GBA LCD L33445 removal of skin lesions

    Palmetto GBA became our MAC at the beginning of the year. With that comes their LCD L33445 Removal of Benign and Malignant Skin Lesions with (or in this case without) a different set of "covered" or "deemed medically necessary" ICD-10 codes. This has really shook the physicians in terms of...
  4. H

    Wiki Multiple Medicare Denials for Medical Necessity

    I apologize ahead of time for my ignorance, I am still new to coding/billing and have learned on the job through trial and error. I received 3 pages of denials from Medicare for " these are non-covered services because this is not deemed a "medical necessity" by the payer". But the codes used...
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