coding feeding and swallowing disorder

I have a claim that keeps being denied by Medicaid for swallowing and feeding disorder.
I have coded it several different ways and can not get it to go through.
Procedure code is 92526
Dx: Difficulty in swallowing.
I have coded 787.20 and V741.
I would appreciate any suggestions
Thank you

re: coding feeding and swallowing disorder

Being Medicaid and not knowing what else was billed, cannot give an accurate answer. Also who is billing provider. Medicaid is unique to each state and have separate policies. Example: "The officials contend that procedures such as speech-language pathology treatment (92507) and dysphagia treatment (92526) are bundled codes and encompass all elements of a therapy service"
http://www.asha.org/practice/reimbursement/medicare/medicare_faqs_slp/.
CPT® code 92526 is a comprehensive code that includes most aspects of dysphagia treatment. Do not use additional CPT® codes in combination with 92526 when the focus of the treatment is for swallowing. CPT® code 97150 should be reported for group dysphagia treatment. Contractors pay for outpatient physical therapy services (which includes outpatient speech-language pathology services) and outpatient occupational therapy services provided simultaneously to two or more individuals by a practitioner as group therapy services (97150). The individuals can be, but need not be performing the same activity. The physician or therapist involved in group therapy services must be in constant attendance, but one-on-one patient contact is not required. (See CMS Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 230) CPT® code 92526 is an untimed code, billed as 1 unit per day. If two or more shorter sessions are performed during the same day, these should be combined and billed as 1 unit.
http://apps.ngsmedicare.com/lcd/LCD_L27364.htm