ICD/CPT Coding VNS Removal -non functioning

Rip

Networker
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Any help would be appreciated.

Claim was denied by Medicare because not medically necessary.

Dx: 296.33
CPT 64570

Post Op Diagnosis: Remove Vagus Nerve Stimulator, non functional

Patient had VNS but did not help the deep depression.
VNS was "turned off" and no longer functioning.

Patient had Breast Cancer and needs followup imaging study.
Patient requested removal of VNS

Any hints on how to resubmit for payment?
 

ewinnacott

Guru
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I just looked up the LCD for medicare and the only two dx's that are covered are 345.41 and 345.51. Hope this helps
 
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