Wiki Emergent lumbar herniation icd codes

roussj19

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DX- L5-S1 disc herniation we coded as M51.17
procedure was a reop right l5-S1 discectomy, cpt 63042
appended modifier ET. this is a bluecross plan

we are having issues getting this paid because bcbs is stating the dx is for an illness/injury and is not classified as emergent. I have not been able to get any info off the bcbs bulletin and am having trouble finding anything else so, figured I would post on here. Any input would be appreciated thank you!
 
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