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Wiki Not medically necessary

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bizmatics

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San Jose, CA
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I am really having trouble in determining as to why most of the insurance denies Autonomic Nerve system Test & heart rate (95923, 95943) for not being medically necessary while the DX I've billed does support the services billed. These codes being billed with a Diagnosis code G60.8. I tried appealing with medical records, changed DX to see if payment comes up. even contacted insurance several times with no satisfactory answer. However, nothing seems to work out.
I would really appreciate if some one helps me with this, thanks!!!
 
bizmatics said:
I am really having trouble in determining as to why most of the insurance denies Autonomic Nerve system Test & heart rate (95923, 95943) for not being medically necessary while the DX I've billed does support the services billed. These codes being billed with a Diagnosis code G60.8. I tried appealing with medical records, changed DX to see if payment comes up. even contacted insurance several times with no satisfactory answer. However, nothing seems to work out.
I would really appreciate if some one helps me with this, thanks!!!
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Have you checked LCD and NCD for your area?
 
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