ICD-9 code V70.4 for Examination for medicolegal reasons is a medical classification as listed by WHO under the range -PERSONS WITHOUT REPORTED DIAGNOSIS ENCOUNTERED DURING EXAMINATION AND INVESTIGATION.
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Provider is wanting a 99202 for this visit. I do not feel this visit has enough documentation for a qualifying visit. Does anyone see something I may be missing? Thank you
Primary Care Provider:
Acc... [ Read More ]
Is this for a sports physical only, our clinics charge a flat fee and don't bill insurance. If the patient is also do for their well-child visit, the provider may combine the services and bill a prev... [ Read More ]
I feel like its appropriate to add an additional E/M addressing patient complaint fatigue along with a preventative. Am I correct and after review I believe the E/M would be 99213 and also should th... [ Read More ]
[b]Question[/b]
[QUOTE="Misty Dawn, post: 317594, member: 106810"]Is your doctor working with a doctor in another office? When one claim denies both will deny. This happened with us. So if your cl... [ Read More ]
Every preventive visit should be reported with an appropriate ICD-9-CM diagnosis code to reflect the reason for the visit. The most commonly used diagnosis codes associated with preventive services in... [ Read More ]
[b]Screening For Caries Risk[/b]
The DDS/DMDs that I work with are doing more than charting the dental defect/condition... they are beginning to delve into the WHY... old days: you need 4 fillings a... [ Read More ]
Hi,
I work for denial management, we see a pt who came in our office for routine gyn examination and the claim was billed with 99386-V72.31.Now Medicare denied as non-covered charges”.
... [ Read More ]
[b]Z01.419[/b]
I work for family practice and use Z01.419 for just the pap smear. If we have a female patient that sees GYN for paps, we only use Z00.00. We haven't had a denial yet using ICD-10, b... [ Read More ]
I am getting some denials for Lab coverage (i.e. Quest or Lab corp) from Medicare for claims under the v70.0 code (prior to Oct. 1, 2015). If this is a healthy patient without any complaints or medic... [ Read More ]
The Medicare Advantage organization says they are being held to unreasonable standards. Health Net of California Inc. was recently called out by the Office of Inspector General OIG for failing to subm... [ Read More ]
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