mzblackmon12@gmail.com
Networker
We are a billing company that does coding for the radiology dept of the hospital...so we are not doing hospital billing...I said that to say the hospital is gettign paid on these PET scans using the same dx.. but we cant seem to get them paid...example..first scan 78815 PI M26 pt has history of prostate cancer & bladder cancer in the report there was evidence of retroperitoneum malignant neoplasm...unknown if biopsy proven. so dx codes are as follows;
197.6, v10.46, 188.9 V71.1...then pt had another scan done 3 months later
78815 PS M26 dx 188.9 v10.46 793.11 v71.1
3 months later 78815 PS M26 188.9 v10.46 v10.51 197.6
None of them have paid...can someone please tell me what we are doing wrong..MCR keeps saying the dx are not covered but everything that I research says that each dx is a covered dx......we are stuck!
Thank you!
197.6, v10.46, 188.9 V71.1...then pt had another scan done 3 months later
78815 PS M26 dx 188.9 v10.46 793.11 v71.1
3 months later 78815 PS M26 188.9 v10.46 v10.51 197.6
None of them have paid...can someone please tell me what we are doing wrong..MCR keeps saying the dx are not covered but everything that I research says that each dx is a covered dx......we are stuck!
Thank you!