The original attachment was in .pdf format, which I printed out and then scanned back to my documents folder in .jpg format.
But I am having trouble uploading it to my server, so what follows is the key part:
National Government Services, Inc.
P.O. Box 7108
Indianapolis, IN 46207-7108
A CMS Contracted Agent
November 18, 2010
Sean P. Roddy, MD
The Vascular Group, PLLC
The Institute for Vascular Health and Disease
43 New Scotland Avenue
Albany, NY 12208-3412
Re: Venogram and Venoplasty for Multiple Sclerosis Patients
[major snip-deals mostly with supplied evidence for cause]
[what follows below is the determination]
It appears that diagnostic venography and venoplasty is not yet standard of care and currently remains investigational.
Therefore, these services remain Medicare non-covered and non-reimbursable, even when performed outside of a clinical trial. All diagnostic tests for the purpose of identifying MS patients with venous obstruction (e.g., ultrasound, constrast venography, etc.) as well all services related to the treatment of such obstructions (e.g., venoplasty), and all related services, are considered not reasonable or necessary, and will be denied.
I regret that my response could not have been more favorable.
Paul G. Deutsch, MD
Medical Director, MAC J-13