- Wichita Falls, TX
- Best answers
Is anyone else having issues with getting denials for the use of M06.89 or L40.59 as primary diagnosis codes on office visits or injection services, mainly Toradol?
The thing with that is that RA is systemic. It normally does not affect just one area. I have RA so I know how much it hurts. I had no issues until August and they flipped a switch. I have also been having issues with them paying for Saphnelo. They kept telling me that I could only bill with 2 units.Hi Slc112071,
The insurance company probably wants each body part instead of M06.89. look at the dx block of M06 ...was the RA on hip, knee ,elbow, ankle, feet,shoulder or hand. Also ensure use modifier of RT or LT on claim too along with detailed body area of Rhem. Arthritis documented in the medical notation.
I hope this data helped you.