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International Classification of Diseases, 9th Revision
An established numerical classification system is used by health care professionals to describe the diagnosis. The diagnosis code submitted by the provider explains to insurance carriers why the procedure, service, supplies or medical encounter was ordered. The diagnosis code is part of the medical claim submitted to insurance carriers for payment. Sometimes the codes provided to our laboratory are incomplete or invalid. Diagnosis coding is complicated. If an insurance carrier denies payment for a coding reason, the patient should contact the physician’s office. The office will clarify the diagnosis to our billing department.

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