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Click here for more sample CPC practice exam questions and answers with full rationale

Denial for Labs

My claim is being rejected when I try to submit it with 80053, 80061, 84443, and 85025 for a patient who is 17 years old. It states "Procedure code is not typical for a patient whose age is 17 years. The typical age range for this procedure is 18 years – any. I have also tried using the bundled code 80050 and it also came back rejected. Insurance is UHC.

Can someone help me with this please?

Medical Billing and Coding Forum