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Pt with reassigned gender billing and coding for dysmenorrhea.

  1. Question Pt with reassigned gender billing and coding for dysmenorrhea.
    Medical Coding Books
    The patient in question has been reassigned gender of male, being a born female. The initial visit was for dysmenorrhea.

    The insurance company is obviously denying because the ICD9, 625.3 can not be coded for males! Although male, he still has not had his surgery and still has female genitalia.

    Where do I go from here? I'm stumped!



    Thank you!

    Sarah O

  2. Default
    Written appeal?

  3. #3
    Location
    Columbia, MO
    Posts
    12,907
    Default
    Quote Originally Posted by dlentsch View Post
    Written appeal?
    If the patient was born female and still has female reproductive organs and or genitalia then you need to bill them as a female.

    Debra A. Mitchell, MSPH, CPC-H

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