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Wiki When requesting authorization from insurance

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Girlzsmom66

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Bellevue, NE
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Good afternoon fellow coders!

I have a provider who is planning a dx hscope 58555 with POSSIBLE LOA 58559 and POSSIBLE polypectomy 58558 for intrauterine filling defect (of which ICD10 I am unsure to use), recurrent pregnancy loss, and acquired absent fallopian tube.

When requesting authorization for the surgery, how would you recommend I proceed? Include all cpt's?

Thank you in advance for your assistance!
 
Always include all possible CPT's. I can not tell you the number of denials I work because CPT's are left off and trying to get them added on after the fact in nearly impossible with most payers.
 
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