DME coding dilemma
Padmavathi S. Annaldasula
Description
Collection
Title:
DME coding dilemma
Creator:
Padmavathi S. Annaldasula
Date:
5/10/2013
Text:
Hi,
Medicare does not accept an L code because a PDAC letter is required but
commercial payors have no such requirement. So question is do you change the
code for commercial too just because Medicare criteria is not met...? It's a
grey area because per coding guidelines you have to be consistent in billing
the right code. What is your opinion about this.
Thanks,
Padma Annaldasula CPC
Medicare does not accept an L code because a PDAC letter is required but
commercial payors have no such requirement. So question is do you change the
code for commercial too just because Medicare criteria is not met...? It's a
grey area because per coding guidelines you have to be consistent in billing
the right code. What is your opinion about this.
Thanks,
Padma Annaldasula CPC
Citation
Padmavathi S. Annaldasula, “DME coding dilemma,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/235120.
