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Medicare not deemed medical necessity

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Author: Francis_dc64b6a4 (Francis Xavier)  View Profile |  View other solutions by this author

Question / Problem


What to do when Medicare denied for Medical Necessity?

Solution

Check with the LMRP/LCD whether the Dx is listed under that CPT. If not then rebill with the valid Dx listed on the LMRP.

Applies to

Medical Billing

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