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Xstop 0171T and 0172T

  1. #1
    Red face Xstop 0171T and 0172T
    Medical Coding Books
    Has anyone received payment on the codes from the PPO insurance carriers.
    Has anyone appealed a denial for the codes
    Joellyn Smith Johnson CPC

  2. #2
    Charleston, South Carolina
    I have worked with physicians who used 0171T and 0172T, although for a different interspinous process device. They have gotten paid by some carriers and they have had denials by others. These codes were used during a clinical trial also. Some denials were paid upon appeal, and some the denial was upheld.
    Machelle Morningstar, CPC, COC, CEMC, COSC
    AHIMA Approved ICD-10-CM/PCS Trainer

  3. Default
    We have only had luck getting paid for these procedures by Medicare and Medicare replacement policies. One local commercial insurance carrier will pay for the procedure but only one. Hopefully policies will change soon. Good luck on your appeals!

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