20610 and POS

primrose1

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One of my doctors performed bilateral knee injections for an inpatient at our local hospital. The insurance company is denying the claims stating the POS does not meet policy requirements for this procedure code per LCD or NCD, CMS ID(s) L25820. I don't remember having trouble with this issue before so just not sure if it's this particular plan or across the board. Any help?

Thanks!

Kris
 

freemacl47

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20610 denial hospital

interesting i have never come across that did you read the LCD is the insurance Medicare? that is just darn right silly in my opinion ;)
 

campy1961

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20610 is an out patient procedure only unless it is done in the OR with a manipulation of knee. It is on the CMS website.
 
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