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adiesp1:
I received a denial for 97542, reason being service/procedure requires that a qualifying service/procedure be received and covered (denied by Medicare.)  What did I miss?
This was begun on her second visit, first being the initial eval.
Thanks,
Adrienne

Michele:
Did you look in the LCD/NCD's?  They probably have a document that explains when 97542 is covered and what the requirements are.

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