Forum - Questions & Answers

Apr 8th, 2016 - LBAROGIANIS 250 

Fl Medicaid no fee schedule for CPT® 22856

Our surgeon decided to do CPT® 22856, however, I just found out that this CPT® code is not on the Medicaid Fee Schedule. It is on the Medicare Fee Schedule. This is my first time encountering this mess. First, How is it that Medicare will pay for it but not Medicaid? Second, any body have any good ideas on how to appeal this?

Thanks for any help,

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