Dermatopytosis 110.0

espforu

Guru
Local Chapter Officer
Messages
140
Location
NAPLES, FL
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:confused:Hello All,

Maybe you can help me. I am sure there is some reference you can refer me to. Medicare is denying this diagnosis code as non covered. I know there is something, I just cannot find it.

This is for a office visit, I am trying to find a reference for this. I went to the LCD's and NCD's but can not locate anything specific to the code.

Can you help?

Thanks :)
 
Messages
254
Location
Tampa, FL
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0
Is this just straight Medicare or an advantage plan? I ask, because we bill that as an OV anytime it is applicable and we do not have any issue.

Were there any procedures done? Are you sure it's the OV code that is denying?
 

espforu

Guru
Local Chapter Officer
Messages
140
Location
NAPLES, FL
Best answers
0
Is this just straight Medicare or an advantage plan? I ask, because we bill that as an OV anytime it is applicable and we do not have any issue.

Were there any procedures done? Are you sure it's the OV code that is denying?

Thanks, They are the standard Medicare. The only thing I can think of we are a FQHC but it really should not be a issue.
 

m.j.kummer

Guru
Local Chapter Officer
Messages
109
Location
JCMO
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0
:confused:Hello All,

Maybe you can help me. I am sure there is some reference you can refer me to. Medicare is denying this diagnosis code as non covered. I know there is something, I just cannot find it.

This is for a office visit, I am trying to find a reference for this. I went to the LCD's and NCD's but can not locate anything specific to the code.

Can you help?

Thanks :)
What is the provider type? If it is a podiatrist and you are reporting dermatophytosis of the scalp or beard that could be the issue.
 
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