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Insufficient documentation accounted for nearly 82 percent of improper payments for ostomy supplies in 2018, according to the Centers for Medicare & Medicaid Services (CMS). No documentation and medical necessity also are reasons for ostomy supply pay problems. Tips to Avoid Pay Problems CMS recommends the following to providers’ medical coders: Medical records must contain […]
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Pelvis: Ext nl
Vag nl, not a prominent cystocele, but not fully eval’d
Cx nl, descends well for LAVH, but borderline for straight TVH
utx af 10.5cm. lg amt tiss ???
No bladder assessment done
The LCD does not list diagnosis for hyperbilirubinemia.
Would you consider LCD to be sufficient resource to support NOT using CPT code?
Thanks!