bladder scan being denied

RebeccaB

Guru
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we have had some of claims for bladder scans (51798) being denied by Medicare as no medical necessity.(we are in WI) I can't find anything in the LCD/NCD about any changes
any info would be much appreciated
thanks,
Rebecca
Urology Associates
 

Machelle Freeman

Networker
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77
Location
Eagan, MN
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We use all of those codes on our Bladder scans (Minnesota) and don't have issues with the medical necessity. I put all the 51798 code in the crosswalk and all 3 dx codes are coming up in there. Maybe you should appeal it.

Machelle Freeman, CPC
 
Last edited:

Coder2468

Guest
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I use those codes on bladder scans as well, and have not had any problems. I agree with Machelle, I would appeal.
 
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