Today’s concept of “medical necessity” determines the extent to which individuals with health conditions receive health care services. “Medical necessity” is the measure of whether a procedure is appropriate for the diagnosis and the treatment of a condition. This decision making process is based on the insurance company and the provider’s documentation. Rhinoplasty is sometimes considered cosmetic and not covered by insurance. Describe when it might be covered by insurance and what would you include when you coded and billed for the rhinoplasty? Include the rhinoplasty CPT codes in your response.
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