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Wiki Refilling of implantable pump(95990)

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missyah20

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Does anyone have any information on this code? My provider is billing for this code with a POS 22. Medicare has denied stating "Treatment was deemed by payer to have been rendered in an inappropriate or invalid POS." Does anyone have a link to any Medicare guidelines or informaiton for this code? Thank in advance!
 
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OK, so that is probably the problem I am having. This is being performed by an MDA. So I should be using 95991, right? I just want to be sure. Thanks for your help!
 
Medicare payment for 95990?

We recently had a denial for a nurse practitioner who performed a pump refill. We used 95990 which looks like the correct code but Medicare denied it saying it was not a covered code? Any ideas?
 
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