Wiki invalid codes

[andersont]

I have been denied level of service 99203 because the dx used is D22.5 and D18.01

Does anybody know if these two can't be used together and if so, where is this documented?

Thanks

 

[Pathos]

While I cannot explain why those two codes cannot be billed together (perhaps they overlap clinically?), however I CAN tell you that according to both my ICD-10 book and my SelectCoder, those two codes are incompatible with each other:

D18.01
Hemangioma of skin and subcutaneous tissue

Excludes:

benign neoplasm of glomus jugulare (D35.6)
blue or pigmented nevus (D22.-)
nevus NOS (D22.-)
vascular nevus (Q82.5)


Hope that helps some!

 

[mitchellde]

it is an excludes 1 exclusion and they cannot be coded together... however there is the exception that you can code them together if you can show that these two diagnosis can exist separately and whole. So if these are two separate lesions in separate areas then you can code them together but you will need to appeal it to show where your documentation does support this.