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Will Medicare pay CPT 11406 if the tumor is benign?

K

kerinnejb@icloud.com

Contributor
Messages
12
Location
North Hills West, CA
Is a 2nd ICD-10 code required to show the patient meets the Medicare LCD requirements. For example the patient complained of pain
Thank you
 
11406 is specifically for a benign lesion. You shouldn't need a secondary diagnosis. Are you getting a denial for not medically necessary? What dx code was it billed with?
 
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