Chiropractic Coding & Compliance Alert
Here's Why Some Payers Are Denying M99.01
PDF
Question: Why is my claim with diagnosis M99.01 being denied?
California Subscriber
Answer: Neither the codeset nor the LCDs are perfect, meaning there is always room for improvement. One such case is the Noridian Chiropractic Services (LCD) L34242, reported on Oct. 14, 2015. It applies to Part B JE Claims from California, Hawaii, Nevada, American Samoa, Guam, and Northern Mariana Islands. Practitioners are reporting that their claims are being denied when billed with a payable primary diagnosis code of M99.01, M99.02, M99.03, M99.04, and M99.05.
Action taken: The LCD is being updated to contain the appropriate diagnosis codes. Once complete, Noridian will identify the claims denied incorrectly and adjust them.
Related Articles
Chiropractic Coding & Compliance Alert
- Reimbursement:
Know the Three Essential Facts About Opting Out From Medicare
Never decide ABN options for the patient, or file claims for unusual services, and more. [...] - Documentation:
Take Up the ADR Challenge With These Win-Win Tips
Revert quickly, with separate files for each ADR. Do you put off an Additional Documentation [...] - ICD-10 Update:
Master Thoracic Sprain and Strains In ICD-10
Enjoy as S23.3XXA allows for more number of patient visits. Sprains and strain are among [...] - Reader Question:
How to Code for a Facet Syndrome?
Question: Please guide us through the codes for facet syndrome in ICD-10-CM. Oklahoma Subscriber Answer: [...] - Reader Question:
Here's Why Some Payers Are Denying M99.01
Question: Why is my claim with diagnosis M99.01 being denied? California Subscriber Answer: Neither the [...] - Reader Question:
Understand Separate Procedure For Correct Coding
Question: What do we mean by “separate procedure”? Wyoming Subscriber Answer: According to the CPT® [...] - Reader Question:
Know the Codes Your Payers Accept
Question: How do we learn which codes a payer will allow? Texas Subscriber Answer: Even [...] - You Be the Coder:
Just How Many Diagnoses Would Be Enough For a Claim?
Question: We have primary diagnosis codes and secondary diagnoses codes that, when present, should be [...]