lmackey
New
I had submitted a claim to Medicare CPT 17000 with ICD-10 L57.0, X32.XXXA for AK with exposure to sunlight-initial encounter. It is the patients 1st treatment. Medicare is rejecting the claim for the diagnosis codes. Suggestions?
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Wiki Actinic keratosis
- Thread starter lmackey
- Start date
mitchellde
True Blue
I have to ask but is the date of service Oct 1 or after?
lmackey
New
The DOS is 10/1/15.
AK denial
The only thing I can think of is that you may have linked the X32.XXXA Dx. code to the procedure as well. If so, unlink that Dx. and appeal. Should be linked to AK Dx. only.
The only thing I can think of is that you may have linked the X32.XXXA Dx. code to the procedure as well. If so, unlink that Dx. and appeal. Should be linked to AK Dx. only.
mitchellde
True Blue
You cannot have a well visit and a symptomatic visit on the same day. Check your excludes 1 notes as well as the category description.