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Not medically necessary

  1. Default Not medically necessary
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    I am really having trouble in determining as to why most of the insurance denies Autonomic Nerve system Test & heart rate (95923, 95943) for not being medically necessary while the DX I've billed does support the services billed. These codes being billed with a Diagnosis code G60.8. I tried appealing with medical records, changed DX to see if payment comes up. even contacted insurance several times with no satisfactory answer. However, nothing seems to work out.
    I would really appreciate if some one helps me with this, thanks!!!

  2. #2
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    Quote Originally Posted by bizmatics View Post
    I am really having trouble in determining as to why most of the insurance denies Autonomic Nerve system Test & heart rate (95923, 95943) for not being medically necessary while the DX I've billed does support the services billed. These codes being billed with a Diagnosis code G60.8. I tried appealing with medical records, changed DX to see if payment comes up. even contacted insurance several times with no satisfactory answer. However, nothing seems to work out.
    I would really appreciate if some one helps me with this, thanks!!!
    Have you checked LCD and NCD for your area?

  3. Default
    Yes, I did. We practice in Texas, so I searched by state & I see the DX being listed.

  4. Default
    Quote Originally Posted by Mayzoo View Post
    Have you checked LCD and NCD for your area?

    Yes, I checked the ICDs, they are correct.

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