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

Noridian Medicare denial

I’ve been assigned research on a claim denial for reason code "CO-50" = non-covered services not deemed necessity by payer.

Patient came in for neck pain and doctor examined and applied trigger point injection in the posterior aspect of the neck then prescribed physical therapy. However, the patient was also there to review MRI for previous knee ailment.

The Diagnosis pointer for CPT code 20552 was M62.838. This was assessed the CO-50 reason code. What can I do to bounce this back with a payment on claim?

Peace
@_*

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