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Wiki Loop recorder implant then explant??

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cvand1972

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Rochester, NY
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Have any of you run in to this?
Patient had Loop recorder implanted on 11/25/09. Then, they decide to remove it on 2/5/10. Our local Medicare is denying the explant for being inclusive in the implant procedure. Trying to figure out what modifier we can use, if any.
 
I'm thinking 78.
The MD decided she wasn't having any syncopal episodes so decided to remove it. I guess that could be 'unplanned', right?
 
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