Discuss the applicability and presentation of an abn

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Reference no: EM133793180

Problem

The patient presents with his son who participates in the patient's care. The patient is two months into treatment for unilateral left leg varicose veins that included use of compression hose. The patient has not attempted any weight loss during the period. The patient claims compliance with exercise therapy. Upon exam, the patient has no venous stasis ulcer. The patient's left calf has extensive twisted, enlarged veins that appear dark purple. Patient denies pain, aching, cramping, burning, itching, and claudication. Current blood pressure is 120/80. After lengthy discussion, the patient wishes to proceed with surgical sclerotherapy (e.g. CPT code 36470). The patient is Medicare primary and Anthem BC/BS secondary. Using the items attached-Medicare Missouri carrier's LCD L34536, Anthem's SURG.00037-and the guidance offered in the articles assigned, discuss the applicability and presentation of an ABN for this patient.

Reference no: EM133793180

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