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93923 Included in E/M ?

  1. Default 93923 Included in E/M ?
    Medical Coding Books
    I am a cardiology coder/Biller and I have been receving denials from Medicare B for: 250.00 -93923 "ABI" (Denial: Medical Neccesity)


    Quest: 1. Do you have to be a registered tech to perform and get paid for ABI?
    2. Is 93923 included in the E/M or can I add a modifier?





    Thanks
    Patrina

  2. Default LCD check
    The denial reason clearly states "not a medical necessity" so pls check the LCD coverage for Medicare Part B.

    For 93923 the coverable Dx for diabetes are 250.70-250.73, pls check the documentation for if coverable Diagnosis is available, if so bill that ICD-9.

    Thanks
    With regards
    Arul CPC.

  3. #3
    Default Randi Baker
    does these codes require a modifier if all we are doing is the test? (not the interp)
    93922 and 93923

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