[QUOTE="Chill74, post: 515573, member: 720643"]Amerigroup-I have about 5 more just like thisI am currently going through the individual insurance lists to see what their reason for denial is.[/QUOT...[ Read More ]
I also received a denial for medical necessity. Doctor injected Kenalog 40mg to treat localized edema of right knee. We used J3301 with 20610 with ICD-10 M25.561 and R60.0. Can anyone help me?...[ Read More ]
I have an account that has 2 injections within a global period that were performed. The surgery was 29881 rt. DX: S83.231A. The injections were billed as 20610 78, RT DX:[URL='https://www.aapc.com/cod...[ Read More ]
The doctor uses pain in unspecified joint. Shouldn't the dx be specific to the joints she mentions in HPI? ([URL='https://www.aapc.com/codes/icd-10-codes/M25.562']M25.562[/URL], [URL='https://www.aap...[ Read More ]
AZ Complete Health (Medicaid) recouped multiple claims we have billed as follows:99203 (M17.12) - PAID73562-LT ([URL='https://www.aapc.com/codes/icd-10-codes/M25.562']M25.562[/URL]) - RECOUPED/DENI...[ Read More ]
Any help would be appreciated. I cannot find out any information. Denial code N674: Not covered unless a pre-requisite procedure/service has been provided. Billed 60 yr old lady for a joint inj...[ Read More ]
I would not assume that the "knee" itself is gone. The bones are basically "trimmed" so the implants can rest on what was the articular surfaces. For the tibia the meniscus both medially and laterally...[ Read More ]
[B][SIZE=5][COLOR=rgb(226, 80, 65)]Hello Everyone![/COLOR][/SIZE][/B] :giggle:[B]Coding Conundrum for the Day: Coding "Knee" Pain Following a Total Knee ReplacementHere's the scenario: [/B]A pati...[ Read More ]
A commercial insurer is denying payment for 73564 (xray knee, 4 view) that was billed with dx code of right knee pain (M25.561) saying that a modifier is required. I'm at a loss. What modifier might...[ Read More ]
Were there any issues with the joint replacement? For example, a patient with a right knee replacement comes in after six months because of pain in the joint.We would code the following:99213M25...[ Read More ]
