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Wiki 99401 for BMI?

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Biller2023

Networker
Messages
75
Location
Trenton, NJ
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We submitted 99401 with Dx code Z68.43 (BMI adult) but Horizon NJ Health denied stating "Missing/incomplete/invalid principal diagnosis". How do I fix this?
 
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You probably figured out the answer by now, but BMI codes can't be listed as primary dx codes. Per ICD-10 "BMI codes should only be assigned when there is an associated, reportable diagnosis (such as obesity)".
 
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