Question: The coder assigned a CPT code to x-ray, right femur and an ICD-10-CM code to fracture, right humerus. The health insurance company denied reimbursement for
The coder assigned a CPT code to "x-ray, right femur" and an ICD-10-CM code to "fracture, right humerus." The health insurance company denied reimbursement for the submitted claim due to lack of medical necessity. What action should the provider's office take?
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