Wiki ICD10 codes mutual exclusive denial

[pdevito@southcoastmedgroup.com]

I am hoping someone can help me with a blue cross denial
I billed ICD10 codes E78.5 E29.1 to 99214 Blue cross denied as Mutual exclusive any advise would be appreciated.

 

[kdlberg]

E78.5: Hyperlipidemia, unspecified

E29.1: Testicular hypofunction

I see no reason why this would be denied for "mutually exclusive." They're two different body systems, one is not a symptom associated with the other, and there's no excludes1 note. Scratching my head over this.

Unless there's a wrong gender marker somewhere, since E29.1 couldn't be used on a coded-female patient.

 

[mitchellde]

This is an Excludes 1 denial.. all codes in the E70-E78 code range are exclude 1 excluded with the E29.1. This is what they mean by mutually exclusive denial.

 

[pdevito@southcoastmedgroup.com]

E78.5: Hyperlipidemia, unspecified

E29.1: Testicular hypofunction

I see no reason why this would be denied for "mutually exclusive." They're two different body systems, one is not a symptom associated with the other, and there's no excludes1 note. Scratching my head over this.

Unless there's a wrong gender marker somewhere, since E29.1 couldn't be used on a coded-female patient.

thanks you !

 

[pdevito@southcoastmedgroup.com]

This is an Excludes 1 denial.. all codes in the E70-E78 code range are exclude 1 excluded with the E29.1. This is what they mean by mutually exclusive denial.

Thank you !