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Radiology Coding Alert

You Be the Coder: Check LCD, Payer Reimbursement Policies when Appealing Medical Necessity Denial

- Published on Fri, Feb 09, 2018
Question: We have a patient who presents for a maxillofacial computerized tomography (CT) scan without contrast for a severe, chronic postnasal drip. The physician documents a possible nasal polyp during the imaging. We coded this as R09.8 and received a denial for medical necessity from the insurance company. Should we appeal? Indiana Subscriber Answer: Unfortunately, R09.82 (Postnasal drip) does not [...]

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