vidraj
Guru
Hello everyone,
Just need your thoughts on this scenario.
I am working on getting authorization for Lower extremity study.
It was advised to evaluate peripheral vasculature as patient has claudication, leg weakness, discoloration in both legs. Patient has an abnormal ABI, showing- severe inflow disease in both legs.
Our providers gave us the code I73.9 - Peripheral vascular disease, unspecified under assessment.
Although not documented by the provider under assessment, with the supporting HPI note, Abnormal LEAD study report,
- Can I request this authorization with specific diagnosis code I70.213 - Atherosclerosis of bilateral legs with intermittent claudication.
We get a lot of denials especially with unspecified code I73.9.
I am fairly new to educating providers. And would like to guide them to document the right way.
- What would you do?
Just need your thoughts on this scenario.
I am working on getting authorization for Lower extremity study.
It was advised to evaluate peripheral vasculature as patient has claudication, leg weakness, discoloration in both legs. Patient has an abnormal ABI, showing- severe inflow disease in both legs.
Our providers gave us the code I73.9 - Peripheral vascular disease, unspecified under assessment.
Although not documented by the provider under assessment, with the supporting HPI note, Abnormal LEAD study report,
- Can I request this authorization with specific diagnosis code I70.213 - Atherosclerosis of bilateral legs with intermittent claudication.
We get a lot of denials especially with unspecified code I73.9.
I am fairly new to educating providers. And would like to guide them to document the right way.
- What would you do?