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Wiki 70553 code please help

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lisairwin

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Maysville, KY
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WE have ordered this mri for a young male(early 20's) for:
302.72 low ;libido
257.2 testicular hypofunction
259.9 unspecified endocrine disorder
v41.7 problems with sexual function

It is not being covered. Can anyone help me out with this??

Thanks
 
70553 is a brain MRI with and without contrast. There is an LCD on this code (L31788)
and none of the codes you have listed meet medical necessity.
 
lisajett said:
WE have ordered this mri for a young male(early 20's) for:
302.72 low ;libido
257.2 testicular hypofunction
259.9 unspecified endocrine disorder
v41.7 problems with sexual function

It is not being covered. Can anyone help me out with this??

Thanks
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What does the documentation state? Why did the provider order an MRI of the brain? Surely there is something in the visit note that will give insite into this.
 
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