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One of our doctors recently saw a patient at the hospital and had to do an excisional debridement of the right buttock/groin. The total square cm is 374. My coder coded 11046 with 18 units.
Medicare is denying this CPT code because it does not support this many frequencies. I was told Medicare will only pay for 5 units. Has anyone had this issue before? If so did you send an appeal with all documentation showing why we put 18 units or do you only put the number of units Medicare will pay?
Thank You!
Medicare is denying this CPT code because it does not support this many frequencies. I was told Medicare will only pay for 5 units. Has anyone had this issue before? If so did you send an appeal with all documentation showing why we put 18 units or do you only put the number of units Medicare will pay?
Thank You!