What is one possible consequence of utilizing unspecified codes frequently?

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Utilizing unspecified codes frequently can lead to potential denial of claims due to lack of specificity. This happens because insurance payers often require detailed and specific information to process claims accurately. Unspecified codes provide minimal information, which can cause confusion or doubt regarding the patient's diagnosis or the treatment provided. If the diagnosis is not clear, the insurer may reject the claim, requesting more information or declining coverage altogether. Therefore, specificity in coding is essential for claims approval and ensuring that healthcare providers receive appropriate reimbursement for the services rendered.

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