Billing and Coding: Select Minimally Invasive GERD Procedures

Coverage for select minimally invasive GERD procedures follows the associated LCD and requires documentation of medical necessity in the medical record. Claims must include a valid, specific ICD-10-CM diagnosis code and, when applicable, the referring/ordering physician's name and NPI; procedure coding may also be affected by NCCI and OPPS edits.

"Services for select minimally invasive GERD procedures are covered when medical necessity is met as defined in the associated Local Coverage Determination (LCD) for Select Minimally Invasive GERD P..."

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