smerriweather1
Networker
Hello,
I have a pacemaker billing question that I need to run by a fellow cardiology coder:
The following was billed: CPT 33249 with DX I25.5 and I50.9 however Medicare has denied it stating that it does not meet the guidelines of NCD 20.4.
When I look at the NCD I see the DX of I50.9 is on the approved list of DX codes, but when I called the Medicare help line I was just advised the same statement that it was denied. I'm now wondering if the rejection is due to needing to supply a modifier of KX? Any suggestions?
I have a pacemaker billing question that I need to run by a fellow cardiology coder:
The following was billed: CPT 33249 with DX I25.5 and I50.9 however Medicare has denied it stating that it does not meet the guidelines of NCD 20.4.
When I look at the NCD I see the DX of I50.9 is on the approved list of DX codes, but when I called the Medicare help line I was just advised the same statement that it was denied. I'm now wondering if the rejection is due to needing to supply a modifier of KX? Any suggestions?