Wiki Lung Transplants (32851-54) and ASA 00580

rebasheba

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Any one else seeing denials from CMS for Anesthesia done for Lung Transplants starting about 10/1/15? Initally was told by Medicare contractor that ASA does not match, as service is Lung Transplant-- but this is the only ASA that the CPTs cross to. The NCD 260.9 does not give a list of approved Dx Codes and is specifically for Hearts. This is the NCD they are reverencing in the denial. Anyone else having the same problem?

Thanks.

Lisa Reister
 
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