09-21-2017, 02:23 AM | Community Wiki

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Diagnosis E78.00 please help

  1. #1
    Default Diagnosis E78.00 please help
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    We are getting denials now for the Diagnosis E78.00 Pure Hypercholesterolemia which is what we use when our patients have high total Cholesterol. And also a high LDL. Since ICD-10 has this as an unspecified code some carriers are denying this, what I would like to know is what code/codes are other offices using when this is what the patient is diagnosed with. There is E78.1, E78.2 and so on with a list of descriptions under each code but we are finding it hard to determine what fits best.

    I hope I have presented my question clearly any help would be appreciated, thank you.

    Tina

  2. #2
    Default E78.00
    I see no one has replied. Did you ever find out the answer to your question? Our system put an edit in place not to use as a primary code probably because of getting denials.

  3. Default
    Curious if you are still getting many denials for this. E78.00 should be able to be listed as primary. I saw that the original post was in December 2016. I wonder if some denials were because of the catch up from e78.0 to e78.00 that took effect in October of that year.

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