medical coder
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Blue Cross denies a pre-op visit coded as: E/M with modifer 56 with a diagnosis code V72.83. Does anyone have a suggestion on how to code this pre-op visit?
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Wiki Pre-op examination
- Thread starter medical coder
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KathyJohnson
Networker
BCBS can be difficult. They LOVE to reject claims. Maybe V72.84 would satisfy them.
mitchellde
True Blue
the 56 modifier cannot be appended to the E&M, it must be appended to the procedure code planned to be performed. This is in the BCBS provider manual and V72.83 is the correct ICD-9 code with the dx code for the surgery listed second.