55503 - Medical Necessity Was Not Supported

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

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