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we are being denied Strapping 29540 by UHC there denial is as follows : Your denial Rationale CPT code 29540 remains not supported, According to CPT code guidelines. Strapping CPT codes shall not be reported for application of a dressing after therapeutic. Therefore, the billed service cannot be supported . We are billing 97022 and 97035 Ultra sound and whirlpool along with Strapping . We know we can bill these codes together and have correct modifiers assigned. Medicare has already approved and paid these claims, But still UHC-Empire is denying for the above reason, What is the best way to handle this ? We have been denied at the 1st appeal level already. Thank You

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The coverage guidelines for Medicare and commercial payers such as the Empire Plan/United Healthcare can differ and may not have the same coverage criteria for the same service modalities. For the Empire Plan/United Healthcare, below are the coding recommendations for justifying separate payment: