Medical Necessity Validation
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See if coverage or billing rules limit use of specific diagnoses or modifiers in combination with CPT or HCPCS codes.
CPT/HCPCSModifier ICD-9-CMs  
Input the specific combination of CPT, modifier and ICDs (up to 4) on each row as you include them on a claim to run Medical Necessity Validation.
Premium Purchase Required.

This feature is available with an account upgrade to PREMIUM level. With Validation, you will be able to check that the codes you plan to use on the claim form will pass CCI bundling edits and support medical necessity. You can add PREMIUM features to your account by contacting us toll-free at 1-855-CALL-DH1 (1-855-225-5341).

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