covered

  1. L

    Question Medical Necessity / ABN forms

    Hello! Our provider did an I&D (10060) to treat a subaceous cyst (L72.3) on a patient who has Medicare. Per our provider, the cyst was not bothering the patient (ie, it's not painful or rubbing on clothing, etc) and she treated it at the patient's request because he didn't like the way it...
  2. KScoderTN

    DX for labs ordered during preventive visit

    Office discussion: Patient is schedule for their annual well/preventive visit. No abnormal findings. Doctor simply puts Z00.00 on the order for the lab. Do you query the physician to have them specify diagnosis/ICD -10 since Z00.00 is not a covered diagnosis for the specific labs that are...
  3. L

    BCBS Alabama + OT Diagnosis Codes

    BCBS of Alabama had a list of covered ICD-9 codes for Preferred Occupational Hand Therapy. Does anyone know if there is a published list anywhere for covered ICD-10 codes? The reason I ask is due to rejected claims for policies with an OTH Rider. Thank you in advance!
  4. L

    BCBS Alabama + OT Diagnosis Codes

    BCBS of Alabama had a list of covered ICD-9 codes for Preferred Occupational Hand Therapy. Does anyone know if there is a published list anywhere for covered ICD-10 codes? The reason I ask is due to rejected claims for policies with an OTH Rider. Thank you in advance!
  5. L

    BCBS Alabama + OT Diagnosis Codes

    BCBS of Alabama had a list of covered ICD-9 codes for Preferred Occupational Hand Therapy. Does anyone know if there is a published list anywhere for covered ICD-10 codes? The reason I ask is due to rejected claims for policies with an OTH Rider.
  6. D

    BILIRUBIN Cpt code 88720 changes/updates

    We are having a very difficult time getting Optima to pay for this code. It denies as non covered. After researching the provider rep explained that this code is not covered whether performed in house or with the preferred outside lab. We perform this test on newborns in an office setting...
  7. E

    Routine Foot Care

    My group has started receiving denials for 11055-11057 (Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus)). I've reviewed the updated LCD with ICD10 diagnosis listed and was very surprised to find that L84 (Corns and callosities) is not listed as a covered diagnosis anymore...
  8. N

    Oral prednisone

    Need some help to see if you can bill for oral prednisone in office setting and if it's covered
  9. L

    Billing CPT 69209 - Ear Lavage

    So excited to see this new code added. Can anyone clarify if this code can still be used in conjunction with an E/M service as long as additional diagnosis' were covered to associate with the E/M?
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