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    What is CPT code 84702?The Current Procedural Terminology (CPT ®) code 84702 as maintained by American Medical Association, is a medical procedural code under the range - Chemistry Procedures. Subscribe to Codify by AAPC and get the code details in a flash.
    Does CPT 84702 rule out pregnancy?Yes to rule out pregnancy by 84702 or 84703. The quantitative test is the most specific and to be sure of highest specificity. If it positive, the chemo would not be started /continued. The test may ... [ Read More ] To rule out that the patient is pregnant (basically to confirm negative) using CPT 84702 prior to administering chemo...
    How do you discuss medical necessity denials with a clinician?When discussing medical necessity denials or potential denials with a clinician, present the medical necessity criteria the payer used to make the determination. This will prevent the debate of why non-clinical personnel can tell a provider a service is not medically necessary.
  4. WebSep 2, 2016 · Proving medical necessity is really no secret at all: Medicare national coverage determinations (NCDs) and local coverage determinations (LCDs) dictate which diagnosis codes must be …

  5. WebJul 2, 2021 · That criteria may vary from payer to payer and even from one payer’s plan to another. Understanding a payer’s definition of medical necessity is essential to getting claims paid. Here’s what you need to …

  6. WebApr 5, 2019 · Medicare defines “medical necessity” as services or items reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. …

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