Vitamin D Deficiency and Medicaid

Rebecca Pate

Networker
Messages
43
Location
Columbus GA
Best answers
0
Since Medicaid does not accept any unspecified codes, and the only code available for Vitamin D Deficiency is unspecified (E55.9), what is everyone doing? Can we not ever use this for Medicaid? Any help would be appreciated. :confused::cool:
 

thomas7331

True Blue
Messages
2,853
Best answers
7
I've never heard that Medicaid does not accept any unspecified codes, but Medicaid plans do vary by state - which state are you finding this in? Is it perhaps unspecified CPT codes they don't accept, not ICD-10 codes? Unspecified ICD-10 are valid codes and sometimes the only code available for certain situations and should be accepted by all payers unless a particular LCD or payment policy limits payment for a service to just a specific list of codes that support medical necessity. I don't know of any payer that has an across-the-board policy of not accepting unspecified diagnosis codes.
 
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