A physician performs a rhinoplasty on a 2-year-old male with nasal breathing problems. The child was born with a congenital cleft lip and palate with nasal deformity. The cleft and partial deformity was repaired when the boy was an infant, but the breathing problems have persisted, and are a direct result of the congenital nasal deformity. Now that the child can withstand a more intensive procedure, the surgeon performs the rhinoplasty to complete the correction of the deformity. What will likely happen with the processing of this claim, as long as they receive documentation of the procedure's medical necessity?
A) Insurance will deny the claim as a cosmetic procedure
B) Insurance will pay for the claim as medically necessary
C) Insurance will initially deny the claim as medically necessary and then pay for the cosmetic procedure
D) Insurance will not process the claim
Correct Answer:
Verified
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