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SuperCoder Posted Tue 26th of April, 2016 12:39:09 PM
Medicare We billed 64450 with DX code M17.12 for unilateral primary osteoarthritis, left knee. DENIED 64450 59 with DX code M17.12 for same, DENIED. 64450 59 with DX code M17.12 for same, DENIED. 76000 with M17.12 DENIED How should we have billed this? What are we doing wrong? WPS is denying for LCD code which specifies for peripheral but this is for only Knee pain. How do we handle these?
SuperCoder Answered Wed 27th of April, 2016 07:09:25 AM
hi, A peripheral nerve injection allowed if the medical record supports a medically necessary service and As per the scenario and per LCD medical necessity not found to code this procedure. Also, a code description can be added when this procedure is billed to avoid the rejections as this code is not elsewhere classified code for other peripheral nerve or branch.

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