Procedure: 33249
Diagosis: Cardiomyopathy
Denial: Medical Necessity
I am interested to learn about the Q0 modifier and Z00.6 diagnosis code. Does the patient actually need to be enrolled in a Clinical Research Program to use these? If so, how do you get them entered?
Since this patient is not entered in a Clinical Research Program do I appeal with a Letter of Medical Necessity from my doctor and ask for reconsideration?
Thanks for your help in advance.
Diagosis: Cardiomyopathy
Denial: Medical Necessity
I am interested to learn about the Q0 modifier and Z00.6 diagnosis code. Does the patient actually need to be enrolled in a Clinical Research Program to use these? If so, how do you get them entered?
Since this patient is not entered in a Clinical Research Program do I appeal with a Letter of Medical Necessity from my doctor and ask for reconsideration?
Thanks for your help in advance.