medically necessary

  1. L

    Question Medical Necessity / ABN forms

    Hello! Our provider did an I&D (10060) to treat a subaceous cyst (L72.3) on a patient who has Medicare. Per our provider, the cyst was not bothering the patient (ie, it's not painful or rubbing on clothing, etc) and she treated it at the patient's request because he didn't like the way it...
  2. K

    Procedure 99188 and 99401

    Our physicians want to offer to our patient's dental evaluations and dental varnish in our office at same time they are doing a well check. The dental services would be for children 3 and under and for patient's who have a commercial insurance. Procedure codes are 99188 and 99401 dx Z41.8. We...