Description 
Service is not medically necessary based on Medicare guidelines. If you disagree with this decision you may ask for a redetermination within the program time frames.

Resolution
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 JJ Part A Medicare

Provider Contact Center: 877-567-7271

Email JJ Part A

Contact a specific JJ Part A department


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