Question M54.50 Primary

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Lufkin, TX
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Have a BCBS patient level 3 only seen for low back pain dx M54.50 as primary. Clearinghouse denied as unprocessable date of service 10/8/2021.
 

thomas7331

True Blue
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3,740
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M54.50 is valid beginning on 10/1/2021. Either the clearinghouse or BCBS has not yet updated their code edits, or else they are denying it for another reason unrelated to the diagnosis code itself.
 
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