93571 denied - Medicare is denying

coders_rock!

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Medicare is denying 93571[26/LD] as an add-on code that shouldn't be billed with 93458-26. Both codes are using the same Dx 411.1. Is this correct?
 

jewlz0879

True Blue
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Not according the NCCI edits from Medicare. See below: (I c&p from Mcare's NCCI link)

93458 93564 20110101 * 0
93458 93565 20110101 * 0
93458 94002 20110101 * 1

93571 93042 20080701 * 1
93571 93318 20090401 * 1
93571 94002 20090401 * 1

I would appeal that with records since NCCI does not show any bundling edits.
 
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