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Sherry Posted Fri 19th of January, 2018 13:20:15 PM
Hello! Looking for your advice on the following: I have about 6 claims denying with the following denial, "DIAGNOSIS AND PROCEDURE CODE COMBINATION NON-SPECIFIC OR UNRELATED."//All of those are billed like we always bill these, with CPT codes 74177, Q9967, and 82570-QW.//None of the DX codes on these are the same, so all denying with that same denial, all with those CPT codes, but DX codes on each of those claims are all different. Is there a specific LCD or DX code for Creatinine that they normally are looking for that would be the cause of the medical necessity? I've been researching and couldn't locate much information on this, so any help you can assist with me would be truly grateful. Thank you!!!
SuperCoder Answered Mon 22nd of January, 2018 08:30:00 AM

Hi, 

 

Please find undermentioned links for LCD of above mentioned Code 74177.

>https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=34277&ver=13&SearchType=Advanced&CoverageSelection=Local&ArticleType=SAD|Ed&PolicyType=Both&s=All&CptHcpcsCode=74177&kq=true&bc=IAAAACAAAAAA&

 

There is no data available from CMS for codes Q9967 and 82570. Please provide your state of billing to provide more information.

 

Hope this helps!

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