MCARE DX CODE

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I have a provider that wants LabCorp to bill for CPT 81241--Factor V Leiden, for a Mcare pt, he wants to use DX code D68.51, LabCorp says that isn't a good Dx code for Mcare. I have tried to look up the LCD # for WPS Mcare, the LCD #36400 for this CPT code doesn't list any acceptable DX code. If I read this LCD correctly, this CPT code is a non-covered code. If this is the case then what code would be acceptable or see if there is another CPT code for what he wants.


Whatever help anyone can provide he would greatly appreciate it.


Thanks
Rosemary Hoormann,CPC

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I have a provider that wants LabCorp to bill for CPT 81241--Factor V Leiden,  for a Mcare pt, he wants to use DX code D68.51, LabCorp says that isn't a good Dx code for Mcare.  I have tried to look up the LCD # for WPS Mcare, the LCD #36400 for this CPT code doesn't list any acceptable DX code.  If I read this LCD correctly, this CPT code is a non-covered code.  If this is the case then what code would be acceptable or see if there is another CPT code for what he wants.




Whatever help anyone can provide he would greatly appreciate it.





Thanks

Rosemary Hoormann,CPC

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