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Wiki Medicare is not paying 76937-26 for 93503

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Location
Park Falls, WI
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I work with Palmetto and Noridian. I cannot find any literature for why Medicare is stating that 93503 is not a valid primary procedure code for 76937-26. They pay when we also bill 36620 or 36625, so does anyone have any insight for how we can get the ultrasound guidance paid for just the 93503 code?
 
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