diagnosis code

  1. M

    Positive urine drug screen

    What is the correct diagnosis code to use when billing a urine drug screen (80305) If a patient has a positive result but the provider doesn't diagnose them with a substance abuse/dependence disorder? For example, if the patient tested positive for cocaine; should I use F14.90 Cocaine use...
  2. A

    Question Telemedicine Orginating Site Fee Diagnosis Code

    Hello! What diagnosis code is appropriate for billing the originating site fee (Q3014)? Should it be the first-listed diagnosis of the distant site claim? Thanks, Alysoun
  3. M

    Dx code for prescribing "just in case"

    Hey there, So I have a provider who, in two separate encounters, has prescribed a patient medication in case they become ill. The first was for a patient taking a hunting trip, who was prescribed an antibiotic if he were to present with respiratory issues (no previous history of, currently...
  4. A

    Coding help needed for denied modified Weil

    My physician performed a Fusion 1st MT right, Modified Weil Osteotomy 2nd MT right and Arthroplasty 2nd right. Diagnoses were Hallux Valgus, Plantar Flexed MT, and Hammertoe. I coded this surgery as 28750 (T5) / M20.11 28308 (T6, 59) / M20.5x1 28285 (T6, 59) / M20.41 I have a claim...
  5. J

    Medically indicated circumcision

    Our provider did a circumcision on a 4 mo old patient at the recommendation of the urologist after an episode of urosepsis. Z41.2 would not be an appropriate dx code in this case, but I am having difficulty figuring out what code(s) should be used. Someone suggested Z40.8 (Encounter for other...
  6. B

    Post-Term Pregnancy DX

    There seems to be a debate here in my office about the use of O48.0 for post-term. If the record indicates that the patient is 40/3, they are wanting to use that code. I am reading the definition of that code as "Pregnancy over 40 COMPLETED weeks to 42 completed weeks". Meaning the patient has...
  7. S

    Billing 64405 DX M5481 to BCBS Denied

    We bill 64405 (greater occiptal nerve block) with DX M5481 (occiptal neuralgia) to Blue Cross, they deny stating non-covered. When patient contacts BCBS, they advise patient, denial is due to the diagnosis we are billing. However, M5481 occiptial neuralgia is the reason for the occipital nerve...
  8. danskangel313

    Need help with SLE, rheumatoid arthritis, and headaches

    I'm trying to decipher an encounter note for a new patient who came in because of headaches and joint/swelling. She already had the RA diagnosis, but the provider added SLE to her problem list. Is there a way to tell which condition the joint problems are attributed to? I assumed it was the RA...
  9. Z

    Coding Falls Without Injury

    A hospital inpatient falls, but does not incur any injury or other problems as a result of this fall. What primary diagnosis code would you use? Would you use ICD-10 diagnosis code R29.6? Thank you for your suggestions!
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