Has anyone else had issues with Coventry lately denying 20611 as not medically necessary per LCD? The only LCD I can find is for injections of the knee with hyaluronan. However, the ones that are denying are not being injected with hyaluronan and may be in any of the major joints, not just knees. We’ve tried appealing stating it is not related to the LCD, but denial was upheld. We are usually billing with a diagnosis of osteoarthritis for the related joint. Thoughts?

Thanks!