neelas
New
Helicobacter Pylori is a limited coverage test under MediCal with 'Functional Dyspepsia' as one of the required ICD 10 codes. Functional Dyspepsia (K30) can only be diagnosed when all causes of dyspepsia(ulcer, GERD, H Pylori) have been ruled out.
Often the patient presents with bloating and the physician diagnoses 'Dyspepsia' and orders H.Pylori testing. But, dyspepsia (R10.13) is not a covered diagnosis code. Physicians are reluctant to diagnose a patient as having Functional Dyspepsia when the patient present with bloating only.
what is the best way to deal with the situation. thanks,
Often the patient presents with bloating and the physician diagnoses 'Dyspepsia' and orders H.Pylori testing. But, dyspepsia (R10.13) is not a covered diagnosis code. Physicians are reluctant to diagnose a patient as having Functional Dyspepsia when the patient present with bloating only.
what is the best way to deal with the situation. thanks,