Medical Billing Forum
Coding => Coding => : adiesp1 December 20, 2011, 08:48:12 PM
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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
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Did you look in the LCD/NCD's? They probably have a document that explains when 97542 is covered and what the requirements are.