Rank: Guest
Joined: 9/8/2012(UTC) Posts: 1,486
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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?
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Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,732
Thanks: 39 times Was thanked: 51 time(s) in 51 post(s)
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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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