Wiki Billing question Medicaid

[anngale]

I continue to get denials on the following from one of our Medicaid providers:

99213 dx J11.1 and J02.9
87880 dx J02.9
87804 dx J11.1
87804-59 dx J11.1

What is wrong?
Thank you. Ann

 

[vanessamoldovan]

I continue to get denials on the following from one of our Medicaid providers:

99213 dx J11.1 and J02.9
87880 dx J02.9
87804 dx J11.1
87804-59 dx J11.1

What is wrong?
Thank you. Ann

What is the denial and on which CPT(s)?

 

[mitchellde]

There is an excludes 1 exclusion for this pairing of j11.1 and J02.9 they cannot be coded together

 

[anngale]

Thank you!