55503

FISS Narrative
Line denied because medical necessity was not supported as outlined in Palmetto GBA's Local Coverage Determination (LCD).

Explanation and Suggestion:
Refer to Palmetto GBA's LCDs on our website under Medicare Policies Medical Policies for JJ Part A and JM Part A. If you disagree with this decision, you may request a redetermination.

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 



spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer