Forum - Questions & Answers

Jun 22nd, 2016 - GPPC 6 

atrial fibrillation ablations

cannot find the ndc for these from medicare. Do you have it?

Jun 22nd, 2016 - petunia 195 

re: atrial fibrillation ablations

For CPT® codes 33254-33259? I don't see any ncd for these codes. I have billed them for years without issue. Do you have a specific question about those codes? I can try to help.

Jun 22nd, 2016 - GPPC 6 

re: atrial fibrillation ablations

Thank you for responding. I should have listed the codes. We are not doing mazes we are using the codes 93656 with 93613 and 93662 with 26 mod. I have a local insurance denying for the dx of I48.1 which they are stating is not in the NCD from medicare that they follow.

Jun 22nd, 2016 - petunia 195 

re: atrial fibrillation ablations

I'm a cardiothoracic coder so I always think open codes. :-)

I48.1 is covered per NCD that I'm looking at.. This is the list of covered codes.


ICD-10 Codes that Support Medical Necessity:
I46.2 Cardiac arrest due to underlying cardiac condition
I46.8 Cardiac arrest due to other underlying condition
I46.9 Cardiac arrest, cause unspecified
I47.0 Re-entry ventricular arrhythmia
I47.1 Supraventricular tachycardia
I47.2 Ventricular tachycardia
I47.9 Paroxysmal tachycardia, unspecified
I48.0 Paroxysmal atrial fibrillation
I48.1 Persistent atrial fibrillation
I48.2 Chronic atrial fibrillation
I48.3 Typical atrial flutter
I48.4 Atypical atrial flutter
I48.91 Unspecified atrial fibrillation
I48.92 Unspecified atrial flutter
I49.01 Ventricular fibrillation
I49.02 Ventricular flutter
I49.5 Sick sinus syndrome
I49.8 Other specified cardiac arrhythmias
I49.9 Cardiac arrhythmia, unspecified

Jun 23rd, 2016 - GPPC 6 

re: atrial fibrillation ablations

Where do I get a copy of the NDC so I can use it for the appeal?

Jun 23rd, 2016 - petunia 195 

re: atrial fibrillation ablations

I use Encoder Pro and it's on that program. I can not find a policy that shows acceptable dxs on the internet. I can fax or email you the pages I have printed from there that show acceptable dxs for CPT® code.

Jul 6th, 2016 - GPPC 6 

re: atrial fibrillation ablations

Thank you so much!!! I would love it if you could fax it to me at 716-859-1206. Thank you again!!

Jul 7th, 2016 - petunia 195 

re: atrial fibrillation ablations

Fax should be at the number provided. 3 pages sent with NCD 20.12 and dx's listed

Jul 7th, 2016 - GPPC 6 

re: atrial fibrillation ablations

I received it. Thank you!



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