I cannot read this, but i have questions. Diag istic or Procedural? This was not unusual at all 15 years ago. Is it now? No more T Codes? What insurance Co is this? One of those crappy ones that trump allowed to come back that doesn't really cover anything? Yes, I'm now out of touch with coding.
An Alabama teen was told he needed surgery for debilitating hip pain. But an insurer denied coverage because the procedure lacked a medical billing code.
An Alabama teen was told he needed surgery for debilitating hip pain. But an insurer denied coverage because the procedure lacked a medical billing code.
OK. I read the hl again. Procedural. Again. There at least used to be codes for "cutting edge". Docs that innovate have to have them. Billers don't have the same skill set as a professional coder. Lots of research should go into an unusual claim before it ever gets to the billing dept.