KolarSue
Guest
Can G56.20 and M54.13 be billed together for the same CPT code? Looking these codes up in ICD-10 2021 version (my claim is 2021) and I do not see the exclusion as the payer states it is.
Thanks!
Thanks!
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Wiki Excludes 1 codes
- Thread starter KolarSue
- Start date
TThivierge
True Blue
Hi KolarSue,
I checked my old IDC10 2021 manual.... there is Excludes 1 rule. Dx code G56.20 states unspecified upper limb lesion of ulnar nerve. There is the Excludes 1 rule says current traumatic nerve disorder see nerve injury by body region. Then dx M54.13 is Radiculopathy cervicothoracic region. Radiculopathy is pinched nerve in spine causing pain and numbness. Because of this the Excludes 1 rule does apply since related to nerve disorder.
Well I hope helped you understand
Lady T
KolarSue
Guest
Ok, that makes sense! Thank you for replying to me, I appreciate it!Hi KolarSue,
I checked my old IDC10 2021 manual.... there is Excludes 1 rule. Dx code G56.20 states unspecified upper limb lesion of ulnar nerve. There is the Excludes 1 rule says current traumatic nerve disorder see nerve injury by body region. Then dx M54.13 is Radiculopathy cervicothoracic region. Radiculopathy is pinched nerve in spine causing pain and numbness. Because of this the Excludes 1 rule does apply since related to nerve disorder.
Well I hope helped you understand
Lady T