dpetrosky
New
Our physicians have used IDC-10 code F07.81 as the primary diagnosis for patients presenting with post concussion syndrome. We have recently received denials from only United Healthcare when using the above code with the Remark Code being" An incorrect or inappropriate primary diagnosis code was used."
When you look up F07 in the ICD-10 book it reads to code first the underlying physiological condition but when I convey this to the physician's they state that the post concussion syndrome is the condition for which they are treating the patient.
Does anyone know how to handle ICD-10 and the diagnosis of post concussion syndrome? We seem to only be having this issue with United Healthcare, other insurance companies have processed F07.81 as the primary or only diagnosis.
When you look up F07 in the ICD-10 book it reads to code first the underlying physiological condition but when I convey this to the physician's they state that the post concussion syndrome is the condition for which they are treating the patient.
Does anyone know how to handle ICD-10 and the diagnosis of post concussion syndrome? We seem to only be having this issue with United Healthcare, other insurance companies have processed F07.81 as the primary or only diagnosis.
