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Dexa Scans

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elle:
Medicare states that they will only pay for one dexa scan (77080) every two years.  However, it also says that they will pay for a dexa within the two year period if it is being done to determine the efficacy of medication. 

I submitted a charge for a dexa within a two year period because our patient was being measured for medication efficacy.  The claim was denied.  Does any body know how to submitt a charge within the two year period so that it gets paid? 

Codes used:  77080 with 733.90
Elle

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