Wiki CRT-P Denials

[Jkwiatek]

I am getting denials for the following codes from Medicare: 33208(with modifier sc) 33225 and C2621. The DX are correct from what I can find on covered indications for cardiac resynchronization They are for bi-ventricular pacers. I am wondering if it's the modifier that triggers rejection / denial or something else I am missing?

 

[chetanemerson]

I am getting denials for the following codes from Medicare: 33208(with modifier sc) 33225 and C2621. The DX are correct from what I can find on covered indications for cardiac resynchronization They are for bi-ventricular pacers. I am wondering if it's the modifier that triggers rejection / denial or something else I am missing?

please share details at chetanemerson@axtrics.com. might be able to help

 

[Jkwiatek]

I sent an email with details last week, just checking to make sure you received? I will re-send just in case. Really appreciate you taking a look!