AAPC - Back to school
Results 1 to 7 of 7

Thread: Help with device coding

  1. #1

    Unhappy Help with device coding

    AAPC: Back to School
    I am having trouble getting paid for the 33249 from Medicare stating not Medically Necessary. I have sent documentation and have read all the NCD's. Can anyone help?

    Thanks in advance,


  2. #2
    Join Date
    Apr 2007
    Phoenix, AZ


    What is the diagnosis code you are billing with the 33249?
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3


    The dx that I am having the most trouble with is 425.9 and anything to do with CHF


  4. #4
    Join Date
    Apr 2007


    You need to append the Q0 modifier if you are not billing with any of the dx codes that apply. See the Medicare B News Issue 262 June 2, 2010 on Noridian website.

    Kris Felty, CPC, CCC

  5. #5


    Thanks for the resource. I am billing with the modifier. The only other thing that I can think to do is write a letter.

    Thanks again,

    H. Hall, CPC

  6. #6
    Join Date
    Apr 2007
    upper saddle river,nj


    usually you would need to have a primary dx code when your billing for a device. (428.0-428.9) I don't know which jurisdiction you're from but Highmark Medicare policy for this is 20.4 and 20.8

  7. #7
    Join Date
    Apr 2007
    Traverse City, MI


    For Michigan, 425.9 is a non-covered diagnosis, but primary codes 425.4, 794.31, 410.12, 410.22, 410.32, 410.42, 410.52, 410.62, 410.72, 410.82, 412, 414.8, 428.0, 428.1, 428.22, 428.32, 428.42, 428.9, and secondary code 996.04 are covered. The Q0 modifier also needs to be applied for the intial insert for a 33249 to enroll the pt into their data collection system.

Similar Threads

  1. iStent - coding for the device
    By umachidam in forum Ophthalmology/Optometry
    Replies: 0
    Last Post: 08-31-2015, 01:02 PM
  2. Replies: 1
    Last Post: 04-09-2015, 02:35 PM
  3. New Device interrogation coding guidelines
    By cvand1972 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-10-2009, 05:34 PM
  4. Coding a mechanical traction device
    By chmorton in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-01-2009, 10:25 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.