Wiki 70553 code please help

[lisairwin]

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

 

[Grintwig]

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.

 

[mitchellde]

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

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.