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secondary level appeal

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    Wiki Aetna denying as Experimental

    Hello Everyone, As per Aetna CPT 64490, 64491, 64492 got denied as experimental, Upon review of Aetna policy, M47.812 is not a covered DX for the CPT 64490,64491,64492 and M54.2 is a covered DX therefore suggest to replace M47.812 to M54.2 in the diagnosis list and refile this claim.Therefore...
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