Question,
We recently placed a stent in a celiac artery due to a 85% stenosis. We used CPT code 37236. Our revenue department has informed us that they are unable to bill this procedure because the diagnosis code is not listed in our LCD. I was told the diagnosis code that was used for this procedure was i77.4 for celiac stenosis(stricture).
I know we have stented the celiac artery before but have never been told that this was not being covered. Has anyone else experience this before. Is there new information out that states the celiac stenting is non medically necessary.
Out Local MAC is WPS Indiana the LCD is L35998
I would appreciate any thoughts or recommendations
We recently placed a stent in a celiac artery due to a 85% stenosis. We used CPT code 37236. Our revenue department has informed us that they are unable to bill this procedure because the diagnosis code is not listed in our LCD. I was told the diagnosis code that was used for this procedure was i77.4 for celiac stenosis(stricture).
I know we have stented the celiac artery before but have never been told that this was not being covered. Has anyone else experience this before. Is there new information out that states the celiac stenting is non medically necessary.
Out Local MAC is WPS Indiana the LCD is L35998
I would appreciate any thoughts or recommendations