Wiki Need help -Watchman Procedure non-covered services because this is not deemed a medical necessity by the payer

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vidraj

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Doesn't that document say that claims with I48.20 will be denied? You need a more specific afib dx code, I believe.

What did Boston Scientific say when you asked them for help?
 
Hi Sharon,

Thank you for pointing that out !

Missed this tiny message below the table :

"*The unspecified code is NOT COVERED under the NCD for LAAC. LAAC claims reported with this diagnosis code will be denied".

Page 14 - of the link above also says , " *The unspecified code is NOT COVERED under the CMS NCD for LAAC.
Some private payers have included this ICD-10 code in their coverage policy".

I think I got the answer.

Thank you again.
Vidhya

(Also - Boston scientific also has the same link:
 
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