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Billing IDET, cpt code 22526: HELP!!

Our Physician is going to be doing a new procedure, IDET... the CPT code billed for this is 22526, and 22527 add on code. We went on to the Medicare website to locate the covered diagnosis LMRP, but...

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Re: Billing IDET, cpt code 22526: HELP!!

It is not covered because it is considered investigational.If I read this policy from my Big Blue correctly (not Medicare, I know, but for example's sake), it says it is not covered due to being...

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Re: Billing IDET, cpt code 22526: HELP!!

Thanks SharonThat was a wonderful explanation about IDET as i didnt heard about these procedures. Very Good learning for me.Yo

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Re: Billing IDET, cpt code 22526: HELP!!

LOL! I wish I had written it myself! But alas, no. Gotta love the "copy and paste" feature!But you are most welcome anyway.Sharon

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Re: Billing IDET, cpt code 22526: HELP!!

Thanks Sharon, a bunch. I am in Florida so It is Florida Medicare, it shows the fee schedule but not much more than that. Thanks I appriciate the helpful information.

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Re: Billing IDET, cpt code 22526: HELP!!

Has anyone billed for this procedure and had it denied? Have you appealed? If so, I would be most grateful to see a copy of that. We have a physicain that performed the procedure at our ASC, and noone...

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