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Gestational Thrombocytopenia

T

Tonyj

True Blue
Messages
649
Location
Lithonia, GA
Pt is being managed by a hematologist due to gestational thrombocytopenia. I've received denials stating it is inclusive of the global package. My question is Hem/Onc is separate from OB and managing her thrombocytopenia only. Why are we getting a denial for global package? Any help on this would be appreciated.
 
Looks like your fifth digit is giving you some of the problem, you should not use unspecified episode of care, you need to indicate, antepartum, postpartum, etc. find the appropriate 5th digit in the ICD-9 book, then my suggestion would be to resubmit the claim as a corrected
 
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