87505, 87506, 87507

casseciella

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Having issues getting paid for codes 87505, 87506, 87507 due to new LCD by CMS. Any suggestions on how we can appeal the LCD? the LCD (L37709) list the acceptable diagnosis codes, but the diagnosis code listed are only for specific diagnosis. Therefore, if a patient comes in with a symptom (generally diarrhea) of that diagnosis, but the test comes back negative, then we will not get paid for the test because we can only bill for the symptom which is not listed as an acceptable diagnosis. Any suggestions on how we can get this LCD reviewed?

Thanks!
 
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