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99291

gemini jordan

Contributor
Local Chapter Officer
Messages
11
Best answers
0
Just wondering has anyone noticing that Medicare is denying CPT 99291 as not medically necessary when the DX code J96.01 & G93.40, can CPT code 99291 be down coded to another CPT? Some one please advise
Thanks
 

twizzle

True Blue
Messages
1,131
Location
Sarasota FL
Best answers
0
Just wondering has anyone noticing that Medicare is denying CPT 99291 as not medically necessary when the DX code J96.01 & G93.40, can CPT code 99291 be down coded to another CPT? Some one please advise
Thanks
Did the provider truly perform critical care per the guidelines? If so you cannot downcode it just to get it paid.
 
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