Adding ICD 10

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When we have a patient come in for labs from an outside order and it has mental health diagnosis (ex. F20.9) and the labs are being denied for the diagnosis codes for medial necessity (example Hemoglobin A1c) can we add Z79.899 or does this have to be done on the order?
 

trarut

Guru
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Columbus, OH
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No, you can not add a diagnosis to an outside order. You should reach out to the ordering provider's office for confirmation and an updated code, if one is available. Just because a diagnosis isn't covered doesn't mean it's wrong.

It is acceptable for the ordering provider to make a verbal correction to the order as long as the contact person, date and time of the call is documented and as long as your organization's policy allows for verbal corrections.
 
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