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F41.8 denial

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WHITLEYOBRIEN

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Louisville, KY
Hi, I'm a new coder working in BH. I am getting a denial on 90837 from Passport Advantage. They state F41.8 (anxiety with depression) is not a good DX for that code. Would anyone know why that is?
I'm the only coder at my facility and dont have much guidance.

Thanks!
 
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It may simply be an error on the part of the insurance company. This is worth a call to see if it can be easily fixed by the rep. If it's not that, and the rep can't tell you/doesn't know the reason for the denial, ask to speak to someone who can help you. (They say they don't and never would, but I am convinced that insurance companies randomly deny claims in the hope that no one will follow-up.)
 
F41.8

This diagnosis is an acceptable diagnosis according to the LCD. I would appeal this stating that according to CMS this is an acceptable diagnosis.

Melissa Brownlow, CPC,CPMA,COC,CRC
 
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