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Wiki ICD 10 N60.19 - claim denial

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jvenham

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I'm hoping someone can give me some insight and help with this issue. The patient is “14 year old with Diffuse Cystic Mastopathy”, and we have coded the claim with ICD 10 N60.19. Insurance is denying because the patient is not “Age 15-124 year old”.

Is it proper to add a "P" e.g. N60.19P? (I'm thinking, most likely, no is the answer.)

Would N61 be an acceptable substitute?

Any help is greatly appreciated, thank you in advance!
 
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