Wiki Dx code L02.512 w/11042?

[generic808]

So my claim of a 11042 will not get through with Dx L02.512. Any opinions as to why?

 

[brightpea]

medicare doesn't consider an abscess to be medically necessary - check your LCD on 11042. it considers 2nd & 3rd degree burn wounds; surgical wounds left open to heal; infected open wounds after trauma/surgery; ulcers; necrosis, etc. hope this helps

 

[generic808]

medicare doesn't consider an abscess to be medically necessary - check your LCD on 11042. it considers 2nd & 3rd degree burn wounds; surgical wounds left open to heal; infected open wounds after trauma/surgery; ulcers; necrosis, etc. hope this helps

Yes, it does. Thank you very much.