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Nierman Practice Management (Home) › Forums › Dental to Medical Billing, Coding & Documentation › 21048

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  • 07/03/2023 at 12:00 am #255359
    niermanpm
    Participant

    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?

    06/12/2024 at 3:10 pm #243926
    Jeremy Hobbs
    Keymaster

    Insurance Denial

    08/01/2024 at 7:14 pm #255344
    niermanpm
    Participant

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