Forum - Questions & Answers
Medicare Denial
I billed medicare with the following charge codes
35122 35200 35223 35341 35509 with dx 250.00 and the claim were denied stating they are non billable for the type of services? any adv is appreciated.
re: Medicare Denial
250.00 will not be adequate to get these services covered. You will need to expand your coding to show vascular problems to support the medical necessity. Although the patient may be diabetic, they obviously have other issues that would require these procedures. 250.00 should be reported with the correct 4th digit category & indicate the manifestations as secondary coding.