I never billed that code before; however, when insurances deny codes as experimental, I referred back to the instructions of Category III vs Category I codes as per Karen Zupko at the Ortho seminar and the appeals do work by using the description.
In the description: For Category I codes, the Panel requests that the service/procedure be performed by many health care professionals in clinical practice in multiple locations and that FDA approval, as appropriate, has already been received.
This should help,
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