CoderNicole
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Hello All,
hoping someone can assist i have IR providers who do a drainage via YUEH catheter of peritoneal abscess but they remove the catheter following the procedure so normally this would be coded to 10160 but for CMS Medicare they are denying this because of the LCD in place- the dx does not meet medical necessity.
what are we supposed to do the diagnosis code is the appropriate diagnosis code and i thought that 49406 couldnt be used if the catheter is removed.
thank you,
hoping someone can assist i have IR providers who do a drainage via YUEH catheter of peritoneal abscess but they remove the catheter following the procedure so normally this would be coded to 10160 but for CMS Medicare they are denying this because of the LCD in place- the dx does not meet medical necessity.
what are we supposed to do the diagnosis code is the appropriate diagnosis code and i thought that 49406 couldnt be used if the catheter is removed.
thank you,