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HELP V45.71 and V10.3

  1. Unhappy HELP V45.71 and V10.3
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    We have always billed with these 2 dx codes for any procedures that come after the masectomy for breast cancer. Just this week I have got 4 denials from 3 different insurance companies stating that we need a primary code. I know that if the patient is still on medication for the cancer that we can bill with the cancer code. But if not what code should I use? Is this happening to anyone else?

  2. #2
    Chicopee, MA
    In my experience, I have found that using 611.89 - other specified disorders of the breast as my primary diagnosis w/ V45.71 & V10.3 as my supporting diagnoses has worked.

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