ncd

  1. C

    Wiki 76706 Screening AAA for patient over 75

    Hi any advice for CPT 76706 if done on a patient over 75? The medicare guidelines state they cover this screening for male age 65-75 who has smoked. From the report below, is 76706 the only option? This seems not to be a screening because the patient has a known infrarenal aaa. Could CPT 93978...
  2. S

    Wiki Medicare Hepatitis B Screening NCD effective 10/2016

    CMS made a final decision and released a NCD regarding Medicare coverage for HBV hepatitis B virus screening in 10/2016. The decision identifies "high risk" populations and supports increased access to HBV screenings .CMS will nower cover screenings for those identified in these "high risk"...
  3. M

    Wiki E/M Office Visit with G0436 Smoking Cessation to Medicare

    We are billing e/m such as 99214 with G0436 and Medicare is denying the 99214 stating CO50 medical necessity, M25 information doesn't support level of service and N386 denied based on NCD. I called Medicare and the NCD they reference is 210.4.1. I asked rep if it is due to DX and she said...
  4. S

    Wiki Tilt Table

    I'm getting denials on Tilt Tables. We are using R55 as the ICD 10 code. I've tried looking for the LCD or NCD on 93660 and had no luck. Any suggestions?
  5. D

    Wiki Cardiac Resynchronization Therapy for treatment of Heart Failure

    I am needing some help with Cardiology practice billing CPT 33249 and 33225 for POS 22 to Medicare Part B J5. The claims are being denied as not medically necessary, decision based on NCD policy online. The policy I found is 20.4 NCD for Implantable Automatic Defibrillators. This policy does not...
  6. A

    Wiki NCD/LCD for 17000

    In Arkansas there is an LCD for the use of 17000 & 17003 for 702.0(actinic keratoses). However, I have never had this CPT and ICD combination denied by Medicare. Recently I had a Medicaire Advantage plan deny a claim with these codes based on the LCD. i asked my providers to have ABNs signed...
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