KMayercsik
Networker
- Messages
- 64
Pathology reads, neuroendocrine carcinoma with small cell carcinoma features, poorly differentiated, Lung, RML. The physician says 162.4, but I am thinking 209.30. Thanks in advance.
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Neuroendocrine w/small cell features
- Thread starter KMayercsik
- Start date
hewitt
Expert
- Messages
- 390
- Location
- Rio Rancho, NM
What is the ICD-9 assigned by Pathology? Why not use both with 162.4 as primary?
KMayercsik
Networker
- Messages
- 64
The pathologist does not code it but listed the final diagnosis as 'neuroendocrine carcinoma w/small cell carcinoma features of the lung, LML"
Our local carrier will not pay for neuroendocrine (209.30) because it is not listed as a code under the medical necessity indications for RT, but will pay for 162.4. It can not be both.
Our local carrier will not pay for neuroendocrine (209.30) because it is not listed as a code under the medical necessity indications for RT, but will pay for 162.4. It can not be both.