Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat certain inflammatory diseases (such as moderate allergic reactions), some autoimmune diseases, and (at higher doses) some types of cancer, but it has significant adverse effects.
denial of claim. DEFINITION: Denial of claim is the refusal of an insurance company or carrier to honor a request by an individual (or his or her provider) to pay for health care services obtained from a health care professional.
Another reason for denials of this code is medical necessity, although sometimes that is not clear from the EOB or reply that comes from the Insurance Comp. My suggestion if you are being denied and the reason isn' completely clear, call the insurer and ask for the specific reason it is being denied. If it is med nec., then you'll need to get with the physician and send the documentation the insurer requires to cover the procedure.