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Recently, the Ad Hoc committee has been in conversation again with Trailblazer Health discussing a number of issues regarding the current LCD format. One primary issue has been the requirement of the procedure to diagnosis crosswalk in order to process claims. As Trailblazer considers this issue again, they are requesting information from clinicians.
Trailblazer would like to better understand what diagnoses require physical therapy intervention. Although there are many ICD-9 codes on the crosswalk, there may be codes that have not been included that should be based on the medical necessity of physical therapy intervention when these diagnoses are present. If you have suggestions of diagnosis codes that have been left out of the crosswalk, please send the ICD-9 code(s) to my attention and I will communicate that information to the committee. All input is due no later than November 6, 2008.
If you have any questions about he Ad Hoc committee or about this specific information please contact me.
Angela S. Brooks, PT
VPTA Payer Relations Specialist
804-364-1758
Angela S. Brooks, P.T.
VPTA, Payer Relations Specialist
VPTA, Payer Relations Specialist
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