91065 Breath Hydrogen Test

allysaron

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My GI doc is billing this in office, but lately we are seeing more Medicare denials for dx. We used to get paid using dx 271.2 or 271.3. I tried searching Medicare for LCD, but there is none. How can I find out what dx codes are payable by Medicare and Commercial carriers? Thanks!
 
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I know that my doctors have always done this with 787.3 (gas/bloating) and we haven't had any trouble with payment. This may not be the same reason your docs are doing it, but I haven't had many denials with that DX.

Bob
 
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