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tlwhlw

Networker
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Columbus, OH
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We have several DOS's denied for MA63 Missing/Invalid Principal Diagnosis. The CPT is 92012 w/DX H16.001 and H16.223. After reviewing the chart notes, there is also B20 (HIV) listed in the DX list. ICD-10-CM has a note to use an external cause code for the eye condition....and is also indicating an excludes 2 for these DX codes. Can someone please clarify what this means? Do we need to include the B20 DX code? Thank you for your help!

If this questions sounds familiar, I am reposting as I received no responses from the original post -- can anyone give any information on this? Thank you so much!
 
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