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8/8/16 revision of total hip and knee replacement lcd l33456

Can anyone help me?
I was under the impression that the changes to CMS LCD L33456 for total joint replacement was the addition on ICD-10 codes.
I must be missing something because I have a number of total hips and total knees that are denying for medical necessity due to the revised LCD and cannot seem to get a resolve.
Our carrier, Palmetto GBA states there is a required secondary diagnosis missing but i can only find that information associated with the revisions.

Medical Billing and Coding | AAPC Forum

8/8/16 revision of total hip and knee replacement lcd l33456

Can anyone help me?
I was under the impression that the changes to CMS LCD L33456 for total joint replacement was the addition on ICD-10 codes.
I must be missing something because I have a number of total hips and total knees that are denying for medical necessity due to the revised LCD and cannot seem to get a resolve.
Our carrier, Palmetto GBA states there is a required secondary diagnosis missing but i can only find that information associated with the revisions.

Medical Billing and Coding | AAPC Forum