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I submitted this CPT with the referring physician provided diagnosis. The insurance denied. The results came back all normal. Is the a ICD10 that I use to code out this case. Any help appreciated.
What was the ICD-10 code billed and what was the exact denial code and/reason listed on your remittance advice/EOB? You haven't provided enough information to assist with your request.
I submitted with D69.1 and R23.3. Transaction #290 CPT 85576 has been denied by Molina Apple Health because the diagnosis is not covered (not medically necessary). This has been billed with diagnosis D69.1, R23.3
Thank you