Wiki Amerigroup and high risk DX

[sphilbert]

Hi....we're (NJ providers) billing for spontaneous delivery before 39 weeks with O75.82 or O80 and Amerigroup is denying our claims as needing a high risk DX code. These patients have no complications, high risk factors, etc. Is anyone else having this issue and how do you get your claims paid. Help!!! Thank you.

 

[midnight1995]

HI questions were you able to find out the answer to this - I have the same denial patient delivery vag 38 weeks used O80 and Z3A.38 but Amerigroup is stating O80 is incorrect and another icd should be used