Wiki UHC MEDICARE REJECTION

What reason are they giving for the rejection? Also, W55.81A is not a valid code so if that's what is on the claim, it could be the problem.
 
None of the codes are flagged as not being a primary diagnosis and I don't see any Excludes1 notes that precludes them from being used together.
Can you provide a de-identified note (or the pertinent parts) for the encounter? You may get more responses if we have more information to go on.
 
Was W55.81XA listed as the primary diagnosis? If so, then I'd say that is your issue. An external cause code should never be listed as the first diagnosis.
 
Oops, my mistake on my previous response. I relied on Coder to advise on this one but should have checked the guidelines myself. Thanks, iowagirl77 and ndanh01.
 
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