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Thread: Cpt 22856

  1. #1
    Join Date
    Apr 2007
    Coeur d'Alene, Idaho

    Question Cpt 22856

    AAPC: Back to School
    Has anyone had any luck with CPT 22856 getting paid? Right now both Premera and Medicare have denied 1st and 2nd level appeals for medical necessity. It appears they do not allow this code, however I am being pushed towards having a telephone hearing with CMS. Anyone elses expierences with this code/payment would be GREATLY appreciated!
    Last edited by chamilton122883; 09-09-2010 at 03:01 PM.

  2. #2
    Join Date
    Apr 2007
    Columbus, OH


    Check out LCD L27449: http://www.cms.gov/mcd/viewlcd.asp?l...on=20&show=all. This is a non-covered service in your area due to inadequate evidance of efficacy and/or effectiveness. I would print the LCD and give it to your doc. You have no appeal rights in this instance.
    Last edited by kathydaniel; 08-20-2010 at 05:59 AM.
    Kathy Daniel, CPC, COSC

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