• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Denial for diagnosis code I85.00

Create Wiki
M

mmsllc73

New
Messages
8
Location
Corinth, TX
Best answers
0
Hello everyone! I'm looking for some guidance, I'm new to billing Gastro. My provider performed EDG 43235 with dx code I85.00. Aetna denied the claim for a diagnosis code inconsistent with the procedure. The patient also has cirrhosis of the liver, not due to alcohol. I billed the I85.00 only. Should I have billed both codes together? I appreciate your help.
 
.
There's a note in the ICD-10 manual instructing you to code first liver disease if applicable. If there's liver disease, they instruct you to code I85.10 or I85.11.
Correct coding would be K74.60, I85.10 based on your post.
 
You must log in or register to reply here.
Top