I work for an mri company and code reports from the radiologist. In many cases the patient is coming in for an mri for reason of "abnormal mammogram". Sometimes the diagnosis will state from the mri report "benign cystic masses". I typically use this diagnosis code when submitting a claim. Am i coding incorrectly. I have been getting denials from insurance stating "not covered due to experimental or investigational are excluded from coverage". I always thought that the actual report overrides the reason for the mri as being "abnormal mammogram".
Thanks for any suggestions.
Thanks for any suggestions.