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Reader questions: Check Payers for Removal of Benign Lesions

Published in Dermatology Coding Alert, July 2010

Question: Recently, our practice has been getting more denials for the removal of benign skin lesions, and I’m not completely sure why. What guidelines should we follow?
Virginia Subscriber
Answer: Many insurance companies question the “medical necessity” of benign lesion removal. Many times, the request is for cosmetic reasons, so without documentation indicating the medical reason to remove a lesion, the insurance company denies the request. However, in many cases, the patient’s insurance policy does not cover [...]


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Published in Dermatology Coding Alert, July 2010
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