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Lynn Pickett CPC

L

lpick

Contributor
Messages
20
Location
Fayetteville, NC
Pacemaker check question. When billing a PM check, we use the diagnosis for the reason the PM was put in such as SSS. We are told by Humana that this is incorrect and we should only use Z45.010. Any help?
 
No, not for routine checks. Except with Wellcare because they don't like Z codes as the primary diagnosis. Then I'd put the reason for the pacemaker but for all other carriers we use the Z codes. If the physician documents anything abnormal during the check then I'll add those codes as well. It's routine required follow up and the reason you're doing it is because they have a pacemaker so that should be the only dx you need. We haven't had any problems billing that way. Hope this helps.
 
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