secondary

  1. J

    Primary vs. Secondary Hypertension

    I have a cardiology office visit case wherein the Problem List in the medical documentation states, among many other conditions, "Hypertension, hard to control secondary to left ventricular noncomliance and aortic inelasticity." However, later on, in the assessment, it is stated, "Blood...
  2. E

    Denial from Primary

    If a patient has two insurances and the primary denies (denial is appealed and upheld), do you have to bill the secondary insurance? A co-worker was told to adjust and to not bill the secondary at all.
  3. A

    History of code for secondary cancer

    Do you use a "History of" code for a secondary cancer? For example, the patient is in for a 2017 followup visit. She was diagnosed in 2005 with breast cancer. In 2007 she had metastasis to her bones. Do you code Z08, Z85.3 or do you code Z08, Z85.3, Z85.830 (history of bone cancer)? I...
  4. J

    Denial Billing secondary with G code.

    I need help, keep getting secondary denials because of the g code used when billing medicare as primary. Secondary denies because of the g code but we must use that when billing medicare, tried billing secondary without the g code but then it denies because it doesn't match the primary amounts...
  5. C

    Default coding for Osteoarthritis

    Can anyone tell me if there is any literature that tells what the default codes are for osteoarthritis (unspecified, primary, secondary)? I have heard default is primary, I have heard you have to go to unspecified. Can anyone provide me with any proof/literature to support their position? i.e...
  6. C

    Default coding for Osteoarthritis

    Can anyone tell me if there is any literature that tells what the default codes are for osteoarthritis (unspecified, primary, secondary)? I have heard default is primary, I have heard you have to go to unspecified. Can anyone provide me with any proof/literature to support their position? i.e...
  7. C

    Wiki Default coding for Osteoarthritis

    Can anyone tell me if there is any literature that tells what the default codes are for osteoarthritis (unspecified, primary, secondary)? I have heard default is primary, I have heard you have to go to unspecified. Can anyone provide me with any proof/literature to support their position? i.e...
  8. B

    Opt-Out of Medicare and Secondary Insurance

    One of our providers is debating opting out of Medicare entirely. Many of her patients have secondary insurance in the for of supplemental and true "commercial" secondary. Though I've contacted many insurance companies, about this, none of my reps have responded with a definitive answer... If...
  9. J

    Secondary anemia due to menorrhagia

    How would we code secondary anemia due to Menorrhagia Patient is having excessive bleeding with menstrual cycle and developed anemia. I think it should be coded N92.0 and D64.9. Can you please advise if this is correct way to code this? Thanks
  10. L

    Billing Medicare as secondary

    We are Urgent Care and have an Ancillary contract with Cigna,UHC, and Aetna requiring us to bill S9083 at a flat rate regardless of what was done. I have a patient that is Medicare secondary. Cigna applied charges to pt deductible now I need to bill Medicare but they do not take the S codes...
  11. K

    polypharmacy abuse

    Is there a way to code polypharmacy abuse without knowing the exact drugs used? It is a secondary code to suicidal ideation.
  12. H

    Will Medicaid pay if Medicare denies in NC?

    I am having trouble finding the answer to this question. We have a patient who only has Medicare part A primary and Medicaid secondary. If part A doesn't apply to us, can we file Medicaid and expect payment? If so, would you file the claim as primary or secondary with the information of...
  13. D

    skin tags/another request for help

    I had posted this on 1/11/2016 and got lots of views but no posts. Can someone help me? I think the secondary diagnosis should be R23.8 because the skin tags were being irritated by her clothing. Here is my previous post:Person had skin tags removed- CPT 11200. The diagnosis code used was L91.8...
  14. D

    skin tags - Person had skin tags

    Person had skin tags removed- CPT 11200. The diagnosis code used was L91.8 Skin tags, multiple acquired but secondary code was being required by insurance. Added secondary code L08.89 other specified local infection and insurance denied again. Can someone tell me what diagnoses should be used to...
  15. A

    coding secondary/metastatic CA

    ONCOLOGY CODING EXPERT NEEDED!!! As an auditor for a physician group, I have been getting complaints about the coding of secondary cancer(s). I have reviewed a few of the other threads here, stating that if secondary site is coded, primary should be coded as well. I used to teach coding & I...
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