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in this video are going to talk about the medical necessity and code linkage medical necessity refers to the services or supplies that are needed to diagnose or treat a medical condition and that meet accepted standards of medical practice cod linkage connects a diagnosis code with a procedure called to prove medical necessity and give insurance companies a reason to pay a medical provider example of code linkage a diagnosis of pneumonia with the code j 18.9 could be linked to a procedure called for a chest x-ray it could be seven one zero one zero for a single view or seven one zero two zero for two views to demonstrate that the procedure was medically necessary and appropriate code linkage must be accurate and appropriate to avoid claim denial you