Wiki blue cross cpt 97016

[mjhooyer1]

Hello, I am having hard time getting reimbursed for 97016 for Vaso therapy treatment for a physical therapy office. We had to have a swelling code for it to get paid in ICD9, and now I am using the cross over to ICD 10 and still not getting paid by BCBS, I am getting paid for this from medicare though. So don't know what I need to do different. Any help would be appreciated. Thanks.

 

[mitchellde]

What ICD-10 CM code are you using?

 

[mjhooyer1]

My 3 dx codes are M7121, M79604 & M7989, the 3rd dx code is the swelling crosswalk from icd9 that we had to have to get paid with ICd9, I have tried pointing to all 3 and just pointing to the 3rd dx and I have also tried M7981.

 

[mitchellde]

R60.0 would be the cod for localized swelling. You would list as the first listed cod the reason for the encounter.

 

[mjhooyer1]

So it doesn't matter that the direct crosswalk from the Icd9 729.81 is either M7981 or m7989?

 

[CodingKing]

You shouldn't be coding based off the GEMS