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Good day all,
My office is a Neurology and Pain Management specialty and the physician had me look into Shock-Wave therapy which is the CPT Code 0101T. According to the LCD from Medicare it is deemed experimental and not payable. However, some representative for the company my physician spoke with says its payable. As such, the claim was sent out and Medicare actually pays for it. My question is this common place for Medicare to swear they do not pay for a procedure and then turn around an actually pay for the procedure?
My office is a Neurology and Pain Management specialty and the physician had me look into Shock-Wave therapy which is the CPT Code 0101T. According to the LCD from Medicare it is deemed experimental and not payable. However, some representative for the company my physician spoke with says its payable. As such, the claim was sent out and Medicare actually pays for it. My question is this common place for Medicare to swear they do not pay for a procedure and then turn around an actually pay for the procedure?