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Wiki Trauma pain epidurals with medicare

mjb254

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We have some anesthesiologists that due pain blocks/epidurals for acute pain due to trauma. These patients are not having surgery, so post op pain is out the door. When Medicare updated their LCD with the new epidural codes they did not include an "acute pain due to trauma code" that was previously listed. They updated 10/1/17 to include this but any epidurals done for trauma pain over the last year and being denied for medical necessity. Has anyone else encountered this issue? If so, were you able to appeal and get reprocessed? Thank you!
 
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