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Wiki 76885 (us exam infant hips) on a 7 month old

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dlk

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Does anyone know what the appropriate diagnosis code would be for a 7 month old who had a US exam of her hips? The surgeon has used 763.0, but the insurance company is refusing to pay stating Dx inconsistent with patient age. Thanks.
 
US 7 mos

That denial is true since it is no longer considered a newborn...Did you call the physician for signs or symptoms?
 
This exam is usually done to look for hip dysplasia in infants. Look at V82.3 to see if this code applies to your situation. I hope that this helps you a little.
 
Thank you. :) Apparently the doctor was "ruling out" hip dysplasia in this 7 month old following a breech birth. Looks like we will have to go with symptoms?
 
In most of the exams that I have coded for this, there is usually a hip click, and sometimes a leg length discrepancy. Good luck!
 
The doctor wrote "no click" on the documentation. I have put in a request for signs and/or symptoms for this exam. Can't wait to find out what the reason was.
 
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