kamile01
New
Hello, we continue to receive denials form Palmetto for G0283GP with the explanations below. Per call to Medicare, LCD L37642 (Nerve Blocks and Electrostimulation for Peripheral Neuropathy) prompted the denial for G0283. Question: Why wouldn’t LCD L34428 (Outpatient Physical Therapy) apply to GO283GP instead of L37642?
DOS 4/2/18, Loc 11
97110GP, 97530GP, G0283GP
DX - M25611 R531 M79621 M25511
50 These are non-covered services because this is not deemed a 'medical necessity' by the payer
M25 The information furnished does not substantiate the need for this level of service
N115 This decision was based on a Local Coverage Determination (LCD)
Thanks, Karen
DOS 4/2/18, Loc 11
97110GP, 97530GP, G0283GP
DX - M25611 R531 M79621 M25511
50 These are non-covered services because this is not deemed a 'medical necessity' by the payer
M25 The information furnished does not substantiate the need for this level of service
N115 This decision was based on a Local Coverage Determination (LCD)
Thanks, Karen