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Trigger points

  1. Question Trigger points
    Medical Coding Books
    Anyone having problems getting paid if that is the only code submitted to ins? Example would be 99213 - 25
    20552
    Where can I find info for proper diagnosis that is exceptable?

  2. #2
    Location
    North Carolina
    Posts
    3,126
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    Medicare has a LCD for this procedure. You can search for your LCD by state.

    http://www.cms.gov/mcd/viewlcd.asp?l...on=18&show=all

    Above is NC's

  3. #3
    Location
    Columbia, MO
    Posts
    12,843
    Default
    Quote Originally Posted by robreed840 View Post
    Anyone having problems getting paid if that is the only code submitted to ins? Example would be 99213 - 25
    20552
    Where can I find info for proper diagnosis that is exceptable?
    The proper dx is the one documented by the physician. The LCD will tell you if that dx is acceptable as a covered dx.

    Debra A. Mitchell, MSPH, CPC-H

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