Bladder Scan Denials

RebeccaB

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Hi Everyone,
We have been getting denials from the Medicare plans (we're in Wisconsin) on 51798 (bladder scan) billed with diagnosis of recurrent UTI's (N39.0&Z87.440)
I can find no LCD regarding this.
Anyone have info on covered dx's for this
Thanks
Rebecca
Urology Assocaiates
 

Coder2468

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I have never billed bladder scans with a diagnosis of UTI or history of UTIs. Back when I started coding for urology (about 4 years now) I was told that those aren't covered diagnoses for a bladder scan. Our doctors won't bladder scan a patient for just a UTI or a history of.

I looked for a Medicare LCD as well and couldn't find one, but when I pulled it up on supercoder.com those are not coming up as appropriate diagnoses for a bladder scan.

Stephanie Nolte, CUC
 

jflynn124

Contributor
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Are you sure that the dx is the reason for the denial? We bill them everyday for those same dx codes & receive payment. The issue that we do run into with the bladder scans is denial for referring physician.
 
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