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excludes1

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Wiki Excludes1 edit for diagnosis codes Z11.3 and Z30.09

Hello, We are experiencing denials from the Georgia CMO Medicaid plans when Z11.3 and Z30.09 are billed together. After following up, the plans provided the explanation below: “The billed service (99211) was denied because the associated diagnosis codes, Z11.3 (Encounter for screening for...
- klmcginnis
- Thread
- Jul 22, 2025
- diagnosis codes excludes1
- Replies: 2
- Forum: Diagnosis Coding
E
Wiki Excludes1 Guidelines

I'm confused but not confused on these Excludes1 notes, especially when it comes to Z00.00 excludes1 notes. For example, a patient came in today for her CPE and pre-conception counseling was discussed, so the provider coded Z00.00 and z31.69, but I know this is going to get rejected because of...
- eharloff
- Thread
- Jan 5, 2024
- annual physical excludes1 guidelines icd-10
- Replies: 3
- Forum: ICD-10
P
Wiki Two supported COPD-type codes w Excludes1 notes. Keep what, remove what & why?

We have J41.1 (mucopurulent chronic bronchitis) and J44.1 (COPD exacerbation) on an outpatient record with support for each on this date of service. With the ICD-10 excludes 1 notes, which code do we keep, which do we remove, and why? We do NOT have the option to query the provider. Any...
- pallwardt
- Thread
- Feb 14, 2017
- copd excludes1
- Replies: 3
- Forum: Medical Coding General Discussion

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