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OCT

Date: Jan 20, 2014

Question:

I am seeing a lot of denials for when we bill the OCT (0291T/0292T) concurrent with the heart catheterization codes. Currently there is not an LCD for this procedure other than the "L31832" for Category III codes. The denials are basically stating that "the effectiveness of this service has not been established and is considered to be investigational". I was curious if you had any tips on how to get these paid? Or are they going to continue to deny because the procedure still does not have an LCD specific to these codes?

Question ID : 5363
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