Results 1 to 5 of 5

ICD10 codes mutual exclusive denial

  1. Default ICD10 codes mutual exclusive denial
    Medical Coding Books
    I am hoping someone can help me with a blue cross denial
    I billed ICD10 codes E78.5 E29.1 to 99214 Blue cross denied as Mutual exclusive any advise would be appreciated.

  2. #2
    Default
    E78.5: Hyperlipidemia, unspecified

    E29.1: Testicular hypofunction

    I see no reason why this would be denied for "mutually exclusive." They're two different body systems, one is not a symptom associated with the other, and there's no excludes1 note. Scratching my head over this.

    Unless there's a wrong gender marker somewhere, since E29.1 couldn't be used on a coded-female patient.
    K.D Lowenberg, MA, CCS-P
    Consultant and Privacy/Security Officer
    Orlando, FL

  3. #3
    Location
    Columbia, MO
    Posts
    13,135
    Default
    This is an Excludes 1 denial.. all codes in the E70-E78 code range are exclude 1 excluded with the E29.1. This is what they mean by mutually exclusive denial.

    Debra A. Mitchell, MSPH, CPC-H

  4. Default
    Quote Originally Posted by kdlberg View Post
    E78.5: Hyperlipidemia, unspecified

    E29.1: Testicular hypofunction

    I see no reason why this would be denied for "mutually exclusive." They're two different body systems, one is not a symptom associated with the other, and there's no excludes1 note. Scratching my head over this.

    Unless there's a wrong gender marker somewhere, since E29.1 couldn't be used on a coded-female patient.
    thanks you !

  5. Default
    Quote Originally Posted by mitchellde View Post
    This is an Excludes 1 denial.. all codes in the E70-E78 code range are exclude 1 excluded with the E29.1. This is what they mean by mutually exclusive denial.
    Thank you !

Similar Threads

  1. Mutual exclusive codes
    By Faizia2016 in forum Billing/Reimbursement
    Replies: 4
    Last Post: 08-18-2018, 12:02 PM
  2. Wiki mutually exclusive codes
    By stephpatschorke in forum ICD-10
    Replies: 2
    Last Post: 05-20-2016, 12:18 PM
  3. E-codes in icd10
    By deut649 in forum ICD-10
    Replies: 1
    Last Post: 08-21-2015, 05:41 PM
  4. mutual exclusive edits
    By Jamie Dezenzo in forum Outpatient Facilities
    Replies: 0
    Last Post: 10-15-2010, 08:44 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.