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

UnitedHealthcare Denies DermACELL

UnitedHealthcare (UHC) has issued a clarification to its Skin and Soft Tissue Substitutes medical policy (2018T0592A) in regards to DermACELL®. Behind the Decision DermACELL® (LifeNet Health®) is advanced human acellular dermal matrix intended for the treatment of chronic wounds and soft tissue reconstruction such as implant-based breast reconstruction. A recent report for DermACELL concluded that the […]
AAPC Knowledge Center

TriCare denies 99402 Clinical Preventive Services

Our office was denied payment for 99402 for a TriCare patient. Denial was that this is a non-covered service but the most current update of the TriCare Manual 6010.60-M section 2.1 and 2.2 state clinical preventive services are covered with no cost sharing and 99402 is listed as an allowable code.
Any ideas? Thoughts?
Thank you,
Marcia Cox

Medical Billing and Coding Forum