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Wiki Shave removal denials for D18.01

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nkrush12

nkrush12

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43
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Bloomington, MN
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Our BCBS contractor has recently starting denying all shave removals (CPT 113XX) if billed for D18.01 stating that the diagnosis is not a valid primary code. Anyone else having this issue?

Thank you,
Nicole
 
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That is not true, they will cover destruction (17110/17111) if the hemangiomas meet their medical policy guidelines (Drainage, bleeding, burning, intense itching, or pain associated with the lesion) Our issue is specifically when the dermatologist does a shave removal of an irritated hemangioma.

This is a new denial for BCBS of Minnesota and I was hoping that other MN clinics were having success/tips for appealing.
 
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