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Wiki Total Joint post op x-ray dx

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aswearingen

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Blountsville, Alabama
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We are getting denials from one local FL payer for using Z96.6xx on total joint post op xray charges. Their denial is stating there is a more appropriate diagnosis code for the procedure billed. I am not sure how much more specific we can be when this is just an xray for a post op visit from total joint replacement case. Thoughts?
 
Your primary diagnosis should be Z47.1 - Aftercare following joint replacement surgery - followed by the Z96.6- code. The Z96.6- codes only indicate a status and do not stand alone to support medical necessity or indicate the reason for the services.
 
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