cmanion
Networker
I am a biller at a Family practice, we had a patient call to request to have blood work done because she is losing weight and has hair loss and is concerned. The Doctor Ordered a COMP METABOLIC PANEL W/FASTING GLUCOSE and a CBC/PLT/DIFF/INDICES with DX code R63.4(abnormal weight loss), He also ordered a TSH WITH REFLEX TO FT4 with the DX code L64.8 (Other androgenic alopecia).
The patient's insurance rejected these tests due to the DX codes not being medically neccesary, I'm being told that I can send in a new lab order with different DX codes on it so the lab can resend the claim. I've never dealt with this situation and I'm wondering is this something I can do? and if so, what other DX codes can I use?
The patient's insurance rejected these tests due to the DX codes not being medically neccesary, I'm being told that I can send in a new lab order with different DX codes on it so the lab can resend the claim. I've never dealt with this situation and I'm wondering is this something I can do? and if so, what other DX codes can I use?