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Coder-To-Coder Forum
Started by OrthoPinn at 12-17-2005 5:53 AM. Topic has 1 replies.
  
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 12-17-2005, 5:53 AM
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OrthoPinn
Joined on 12-10-2005
Dallas, GA
Posts 4
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We are having an issue with GA Medicaid paying ACL 29888 for an assist/co. Even though Medicare allows and RBRVs say ok and all other carriers, Medicaid is denying them all saying not normally needing an assist/co. Is anyone else having this issue with Medicaid any where? Just trying to get some info together. Their only response is -80 is never paid on this. Boy, they're cutting everything out now a days. Still waiting on another response from them but in the mean time, just wondering if anyone else is having the same issue. Thanks
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12-22-2005, 8:37 PM
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l.a.coder
Joined on 12-15-2005
Posts 20
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You may have already tried this, but you can try appealing the denial by sending Medicaid a copy of Medicare's Correct Coding Initiative guidelines for 29888 which indicates that an assistant surgeon's services are reimbursable. May want to attach a copy of the op report, also. We don't have any straight Medicaid patients, so I can't state specifically that this will work.
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