• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

J-12 Transition - Acceptable Diagnosis


Local Chapter Officer
Leesburg, VA
Best answers
Good Afternoon:

I am having an issue finding ICD-9 codes that support medical necessity on the Highmark website. Are these mandated by CMS or Carrier? I am still able to pull them off of the Trailblazer website, but they may vary if the carrier mandates. If anyone can help me out I would appreciate it.