Below find helpful links to commonly used letters for clinical and administrative appeals.
Clinical Appeals
- E&M with PVR Appeal [pdf]
- E&M Bundled with Urinalysis [pdf]
- Gold Seed Marker Letter [pdf]
- PTNS [pdf]
- PTNS References [pdf]
- Transperineal Template Guided Biopsy Appeal [pdf]
- Transprostatic Urethral Implant (Urolift®) [pdf]
- UroLift Bibliography [pdf]
- Training in Ultrasound Appeal [pdf]
- Transurethral Destruction of Prostate Tissue; By Radio-Frequency Generated Water Thermotherapy (Rezum®) Appeal Letter [pdf]
- Urodynamics Testing Appeal [pdf]
- Xiaflex Appeal Letter [pdf]
- Xiaflex References [pdf]
- Xiaflex AUA Coding Recommendations [pdf]
Administrative Appeals
- Emergency Medical Services Appeal [pdf]
- Authorization Appeal [pdf]
- Prompt Payment Appeal [pdf]