Forum - Questions & Answers

Jan 22nd, 2010 - mjcurtis2

Hyperbaric Oxygen therapy

Florida Medicare denied 99183 for Diagnosis inconsistant with the procedure. The patient presented with 730.22 and 730.23 unresponsive to prior medical Management.

The new website for Medicare in Florida is horrible and next to impossible to find diagnosis to procedure code relationships.

Can anyone out there help?

Jan 23rd, 2010 -

Did you reference Diabetes? 249.71 perhaps...

Intermediary payment is allowed for HBO therapy for diabetic wounds of the lower extremities when performed as a physician service in a hospital outpatient setting and for inpatients. Payment is allowed for claims with valid diagnostic ICD-9 codes as shown above with dates of service on or after April 1, 2003. Those claims with invalid codes should be denied as not medically necessary.



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