Wiki Adjacent tissue transfer denial from Medicare

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medipro5

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Hi, The doctor I am billing for is a plastic surgeon who is doing adjacent tissue transfer on Moh's surgery patients. He is not performing the Moh's. I just got a denial from Medicare on all adjacent tissue transfers (14000 through 14061) stating "reimbursement for this item is based on the single payment amount required under the DMEPOS comprehensive billing program". Can anyone tell me what this means?

Really appreciate any help!!!

Thanks,
Debi
 
That denial reason makes no sense to me, adjacent tissue transfers have nothing to do with DMEPOS that I've ever heard of. It sounds to me like some kind of error - I'd think you would need to discuss this with the payer to get clarification.
 
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