1C2P3C
New
New coder here. I keep getting denials from Optima on 31625 with dx R59.0 stating diagnosis doesn't match the CPT when dx. Any suggestions?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Optima Denial: 31625
- Thread starter 1C2P3C
- Start date
OpenClaims
Guest
I am not seeing an issue with this when I code it out. It may be payor specific. I'd give them a call to see what they're medical necessities are for this Px.