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Guest
#1 Posted : Tuesday, March 7, 2023 8:40:49 AM(UTC)
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Guest

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Our office has received an appeal denial from a medical ins for 21048. Reason: The billed procedure 21048 was denied because it was performed in an office setting.

I have never seen this code deny before. Any suggestions?
courtneydsnow
#2 Posted : Friday, March 17, 2023 4:41:29 PM(UTC)
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courtneydsnow

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Hi Guest!

21048 stands for: Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])

What insurer did you receive this denial from? Is it possible the patient's medical plan only covers procedures performed in a facility setting?
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