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Neurology & Pain Management Coding Alert

You Be the Coder:

Know Whether to Double Your Kyphoplasty Diagnoses

Question: A patient underwent kyphoplasty, which we coded with 22514 and diagnosis M80.08XA. Medicare denied the claim based on medical necessity. I didn't find any "red flags" for that diagnosis when I checked the LCD. Is there another ICD-10 code I need to include to prove medical necessity? Subscriber Answer: According to the Medicare LCD crosswalk, the Medicare policies of some [...]

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