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FDA Approved?

  1. Default FDA Approved?
    Medical Coding Books
    I have a denial from a commercial carrier for a hip arthroscopy. They want proof the surgery is FDA approved despite the fact it has had a valid CPT code for more than 10 years. Does anyone know how to find this information?

  2. #2
    Charleston, South Carolina

    First thing you may want to do, is call the insurance and ask if this is a correct denial. Someone may have typed in the wrong denial code. Just a thought. If indeed it is correct, you may find what you are looking for on the website. It has FDA approval information for everything approved. Also, if you use a certain scope or device, you may find FDA information on the manufacturers website. Please feel free to email me if I can help in any way.
    Machelle Morningstar, CPC, COC, CEMC, COSC
    AHIMA Approved ICD-10-CM/PCS Trainer

  3. Default
    We've already called and appealed in writing. We have filed a complaint with our State Insurance Board. The FDA approval request is their lastest denial reason. I will find out who manufactured the scope and look for the FDA approval on the website. Thanks for the tip.

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