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Wiki DX inconsistent w/procedure. Help please.

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minoweka

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Billed 99201/628.9 & 81025/V72.41. This is Med-Cal (California Medicaid) . Actual denial states "this service not payeble when billed with this diagnosis". Denial applied to both claim lines.

Could it be referring to the fact that it is an "unspecified" code? I know payers want more specificity not less.

Thank you.
 
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