Wiki Initial office visit diagnosis

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szareen

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I had a patient in a office who came in for initial fertility check up, she was trying to conceive for 2 years. She does not have a confirmed infertility dx yet. DX V26.49 denied by her insurance as she has only diagnostic coverage. I don't have any sign or symptoms to code. How should I code the dx for office visit 99204? Please help?

Thanks

San
 
szareen said:
I had a patient in a office who came in for initial fertility check up, she was trying to conceive for 2 years. She does not have a confirmed infertility dx yet. DX V26.49 denied by her insurance as she has only diagnostic coverage. I don't have any sign or symptoms to code. How should I code the dx for office visit 99204? Please help?

Thanks

San
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That is the only available code to use. Many payers just do not cover fertility counseling or treatments. It will be payient responsibility.
 
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