Question medical necessity denials by Medicare for 78452

lilepp02

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Has anybody else been gotten any denials for medical necessity for the 78452 by Medicare in northern California? All of a sudden every time I bill this code it is being denied and it doesn't matter what diagnosis i use. I have checked the bulletins and the alerts on the Noridian website and i can find anything. We do a lot of these and this just started happening a few months ago.
 
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