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62272 (pa)

  1. #1
    Default 62272 (pa)
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    I've recently received a denial from NGS (Medicare) for procedure code 62272 that a PA performed on it's own. Does anyone know if a PA is allowed to perform that procedure on his/her own in the hospital without a physician on site? Thanks!

  2. #2
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    Quote Originally Posted by Colleen25 View Post
    I've recently received a denial from NGS (Medicare) for procedure code 62272 that a PA performed on it's own. Does anyone know if a PA is allowed to perform that procedure on his/her own in the hospital without a physician on site? Thanks!

    It depends - is this service defined in the PA's scope of services? if your state approved it - you could use that to appeal the claim. (sometimes even though it's state approved, Medicare might not honor it, but worth a shot)

    As long as the PA has the specialized training to perform the procedure, as defined in the scope of services, you should be ok.

    Your PA has his/her own Medicare PTAN, right? What exactly did your denial say? Did you check your LCD's w/ your contractor?

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