Wiki 85018 and 83655 medical necessity

Create Wiki
L

lmbennett

New
Messages
4
Location
St Francisville, LA
Best answers
0
Hey Yall! I am receiving denials more frequently for Pediatric patients for Hemoglobin and Lead level testing. I have been using DX z13.88 and z13.0 that I saw in the American Pediatric coding guide 2020. Has anyone seen these denials, and do you have any feedback on what diagnosis I need to apply?
Thank you!
 
I bill pediatric claims. CPT code 85018 is the right code for office Hemoglobin procedure during an office visit. the question is are those procedures performed as a part of preventative care of sick visit? Different insurance has different benefit limited for this procedure. My suggestion is go back to review individual insurance contract
 
You must log in or register to reply here.
Top