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Radiology Coding Alert

Reader Question:
Check LCD Policy for Medical Necessity Denials

Question: I’ve been getting medical necessity denials from NGS Medicare for computed tomography (CT) calcium score exams. Can we appeal these denials? Alaska Subscriber Answer: National Government Services, Inc. (NGS) Medicare will not reimburse for code 75571 (Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium). Have a look at the NGS Medicare Local Coverage Determination (LCD) [...]