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When a claim is appealed because the ICD-9 CM diagnosis was orginally denied – do we need to send in supporting documentation to verify the new ICD-9-CM diagnosis?

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When a claim is appealed because the ICD-9 CM diagnosis was orginally denied – do we need to send in supporting documentation to verify the new ICD-9-CM diagnosis?

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A. Yes. Because the original diagnosis did not support the medical necessity of the service, supporting documentation verifying the new ICD-9 CM code / condition must be submitted (i.e.

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