Pulmonary Embolism Diagnosis

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5
Location
Pekin, IN
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Is anyone having problems with denials when using I26.90 or I26.99 as primary diagnosis on provider claims? If so, can you explain to me why this is an issue? I don't see that the codes have been deleted or changed, and we didn't have problems with these codes until just recently.
 

TThivierge

Guru
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144
Location
Lithonia, GA
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Pulmonary Embolism coding

Hi

Do you know that dx. I26.9 needs an additional dx code of I33.0 or J85...why doc think patient get embolism? This may help

I hope this information helps you.

Lady T
 
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