Wiki Medicare denied kyphoplasty

such78

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I code for acute hospital. Recently, I got flagged for kyphoplasty denied from Medicare.

Surgeon performed T11 kyphoplasty with intraoperative fluoroscopy.

1. I assigned diagnoses as M80.88XA (documentation is supported the ICD-10-CM). It is in LCD group 1 listed diagnoses.
2. Fluoroscopy is not charged because the imaging is bundled.
3. No modifier is assigned.

How should I clear the flag for this case?


Thank you for the advice.
 
I code for acute hospital. Recently, I got flagged for kyphoplasty denied from Medicare.

Surgeon performed T11 kyphoplasty with intraoperative fluoroscopy.

1. I assigned diagnoses as M80.88XA (documentation is supported the ICD-10-CM). It is in LCD group 1 listed diagnoses.
2. Fluoroscopy is not charged because the imaging is bundled.
3. No modifier is assigned.

How should I clear the flag for this case?


Thank you for the advice.
What state are you in? Who is your Medicare Administrative Contractor?
 
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