• 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..

E/M Denials

D

dmccullers

Guest
Messages
51
Location
Thomasville, GA
I have been seeing a lot of denials lately from Humana and BCBS stating "missing/incomplete/invalid other diagnosis". The codes that we are using are I83.813 Varicose veins of bilateral lower extremities with pain, I83.893 Varicose Veins of bl low extrm w other complications, R60.0 Localized Edema. I am not sure why these codes would not be covered. Does anyone else know?
 
I'm taking a stab here but Varicose veins with pain and edema would be reported with I83.813 and I83.893. You wouldn't also code the edema becasue the I83.893 includes edema. I believe that's the code you're missing.
 
You must log in or register to reply here.
Top