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Thread: Medicare Denial for 63048

  1. #1

    Default Medicare Denial for 63048

    AAPC: Back to School
    Medicare has been denying 63048 when this is billed:


    Denial states 63048 requires qualifying procedure. Has anyone else had this problem with Medicare? Is there a glitch?



  2. #2
    Join Date
    Apr 2007
    North Carolina


    Odd...I haven't experienced any issues. Sounds like a glitch. Let us know what happens.

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Maybe they just want the op report

    Maybe they just want the op report to verify.

    We get this a lot with skin grafts on children (15100 and 15101 for example) where the unit is each 1% of TBSA. One young patient recently got grafts over 14% of body so we had 15100 and 15101 (x 13)!

    Once we sent the op report to verify the extensive nature of the grafts we were paid.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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