excludes 1

  1. E

    Wiki Excludes1 Denials

    So a patient of ours came in for her CPE and was also due for her depo injection. We used 99395-25 and 96372 Dx code for 99395, Z00.00 Dx code for 96372 Z30.42. The insurance denied it stating they cannot be billed together, even though the patient received her depo injection the same day as...
  2. J

    Wiki IBS vs UC

    Under the K50-K52 section of codes, there is an excludes 1 with IBS. If ulcerative colitis and IBS are both supported with appropriate meds, which is more specific? *There is no resource that says the more specific dx is the option under the excludes 1 and I don’t believe a syndrome should be...
  3. T

    Wiki EXCLUDES 1 CLARIFICATIO

    I'm having an issue with this specific Excludes 1 problem: M20.4 (Other hammer toe(s), Acquired) shows Q66 (Congenital deformities of feet) in the Excludes 1; However, Q66 does not have the M20.4 codes in their Excludes 1. Why does a code appear in the Excludes 1 column of one code, but it's...
  4. J

    Wiki Using E10 and E11 together

    Hello all, I came across something today that I'm not sure how to go about doing. A provider documented that a patient has both type 1 and type 2 diabetes. Of course, category E10 and category E11 codes are excludes 1 so I shouldn't code these together. However, I was wondering is there a way...
  5. P

    Wiki 2020 Excludes 1 note on k63.5 and D codes

    There is a new excludes 1 note on K63.5 (polyp of colon) and all D codes (adenomas of colon). As anyone who codes endoscopies knows, it's very common for hyperplastic polyps to exist along with adenomatous polyps, in the same area of the colon or in other areas... so I am confused as to why this...
    • pbrazeau
    • Thread
    • colonoscopy endoscopy exceptions excludes 1 icd 10
    • Replies: 2
    • Forum: ICD-10
  6. B

    Wiki G31.84 Mild Cognitive disorder use additional code error

    I contacted AAPC back in August about the incorrect information included as reference under ICD-10 code G31.84. The error revolves around the use of additional ICD-10 codes F02.80 and F02.81. Both ICD-10 codes are listed under the Excludes 1 list under dementia (F01.-, F02.-, F03). Could someone...
  7. L

    Excludes 1 denials - Preventive w/ Contraception Procedure on same day

    Hello fellow coders! I am the sole coder at a Family Planning/Title X – State funded clinic. With that funding source we must adhere to guidelines set forth by the State in regards to women’s contraceptive measures. This means that if a woman presents for an annual exam and indicates that she...
    • lmiller78
    • Thread
    • contraceptive procedures excludes 1 preventive
    • Replies: 2
    • Forum: ICD-10
  8. C

    Wiki Sepsis coding

    Here is my example pt with Sepsis and BSI ecoli, . My question since the BSI is in the excludes 1 (cant code it with Sepsis) should the Sepsis now be coded as A41.50 Sepsis due to ecoli or should I code it A41.9 B96.29 Thanks Mary
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