I have a claim that was denied. The CPT® is 11406 with a dx 702.19. It is denying for medical necessity. EOB states that the secondary diagnosis code on the claim line is missing or does not meet medical necessity for procedure code. How do I fix this? There is no secondary dx.
My opinion would be to use 17110 destruction of benign lesions. However it would also depend on how it was removed. If it was actually "cut/excised" I would think the 11406. The 17110 has several different ways of removal (you can look under the code for descriptions) or if is was shaved the 11300 codes depending on size and location. Hope something helped.