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Billing Decompression Fasciotomy anterior lower leg

J

jdavis1969

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Can anyway give opinion on how if anyway I can dispute the denial of a decompression fasciotomy of the anterior lower leg based on "provider not qualified to perform service" with Medicare for a podiatrist.
 
Have you checked with your local MAC regarding policies or coverage for this? This is a major surgical procedure so I'm not certain that a podiatrist can bill for it. Has the provider completed additional surgical training?
 
did you ever get an answer for this? I have had the same issue, and my docs are podiatrist/foot and ankle surgeons and do this all the time and I have seen denials as well.
 
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