davehudgb
Contributor
Scenario: I've been asked to create some general rules for Claims Data Entry Individuals to select codes from the Provider's office super bill. The physician is selecting all codes for the encounter. There system generates a Superbill with ALL ICD 10 codes linked to each CPT Code. I've been asked to create guidelines to associated the ICD 10 to the CPT for the data entry processor. Medicare / MCO denied 17110 due to the present selection / allocation of ICD 10 to CPT.
Example:
ICD-10’s: 1) M20.11 2)M20.12 3)M24.575 4)M24.574 5) M20.41 6) M20.42 7) D23.71 8) Z68.1 9) M79.671 10) M79.672
CPT: 17110 ICD -10 Code Association: 1,2,3,4,5,6,7,8,9,10
I've been told this is not coding only diagnosis selection for the claim.
Is it me or does this not seem problematic?
Example:
ICD-10’s: 1) M20.11 2)M20.12 3)M24.575 4)M24.574 5) M20.41 6) M20.42 7) D23.71 8) Z68.1 9) M79.671 10) M79.672
CPT: 17110 ICD -10 Code Association: 1,2,3,4,5,6,7,8,9,10
I've been told this is not coding only diagnosis selection for the claim.
Is it me or does this not seem problematic?