Nickie,
There is no CCI edit on the code pair unless some of your carriers have a specific medical policy or edit. Medicare does not have an LCD on Breast Ultrasound in FL. Many carriers have wellness policies and the screening mammogram is a part of that which has no deductible or co-pay. The ultrasound would be subject to deductibles and co-pay.
Sincerely,
Renée C. Engle, RCC, RCCIR, FRBMA
Senior Vice President, Client Services
MSN Healthcare Solutions
rengle@msnllc.com
678-342-2578 (O) | 770-815-4650 (M) | 678-342-5359 (F) MSNLLC.com
Radiology Business Management AssociationPO Box 1636Evansville, IN 47706-0038
Toll Free: 888.224.7262Local: 703.621.3355Fax: 703.621.3356E-mail: info@rbma.org
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