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Wiki 24640

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kyannekis

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I received a denial for pt age on 24640 (reduction of nursemaid elbow). the patient was 7months and the denial I received (we appealed once) was due to age. I wasn't aware of an age requirement for this code. Can anyone help? Thanks
 
Haven't Seen that One

Never heard of that. Only the CPT stipulation that it is a child. Are they saying 7 months is too young? There are some new born codes but they are for way younger babies.
Have you sent them a copy of the CPT definition?

Jim
 
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