33274 Denied for Diagnosis

[kvogel03]

Hello everyone,

I have billed 33274 with Dx: I49.5. I got a denial diagnosis for I49.5 from Molina Medicare Advantage. Any suggestions on how to get this paid ?

Thanks,

Kayla

 

[SharonCollachi]

Go to their webpage, and find the policy on pacemakers. Here is where you can start: https://www.molinahealthcare.com/pr...ource/Molina-Medical-Coverage-Guidelines.aspx

 

[ellis3350]

Check out Medtronic at -

https://www.medtronic.com/us-en/healthcare-professionals/reimbursement/cardiac-rhythm-heart-failure/resources-device-type/pacemakers.html?cmpid=mdtcom_micrareimbursement_vanity_url_CVG_CRHF_Micra_FY20#leadless-pacemaker

 

[kvogel03]

Thanks I will take a look.