srajeswari
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BCBS is denying payment when we use both J06.9 and J11.1. Is this denial correct? Please advise.
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mitchellde
True Blue
Yes the denial is correct. There is an excludes 1 exclusion for these two codes. Check your code book.
Pathos
True Blue
Agreed, check the "Acute upper respiratory infections (J00-J06)" header for more details.