Please note this question was answered in 2012. The coding advice may or may not be outdated.
Medicare coverage of sacroplasty
Date: May 29, 2012
Question:
We are trying to determine if sacroplasties are covered by Medicare with the diagnosis of compression fracture (w or w/o osteoporosis/osetopenia). We have had claims denied in the past for medical necessity but we cannot find a LCD or NCD for Michigan indicating what is considered medically necessary. Do you have any information on this?
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