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medical necessity denial

  1. J

    Wiki Receiving Lab denials from UHC when using Z codes

    Hello! I have been noticing an issue with United HealthCare where they are denying our lab claims for medical necessity if the first dx is a Z code. The lab charges vary but I tend to see that a lot of the time labs such as CBB w/ dif, Lipid panel, and Hemoglobin A1C are the ones being denied...
  2. C

    Wiki Denied for Medical Necessity Stab phlebectomy of varicose veins

    I've exhausted myself trying to research how to code this for medical necessity. We have been receiving major denials from mostly Medicare but as well other payers. :confused: CPT 37765 ICD-10 I83.811 I've also appealed with all the possible documentation hoping for payment but still denied...
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