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Thread: Seborrhea capitis

  1. #1

    Default Seborrhea capitis

    AAPC: Back to School
    One of my providers diagnosed a patient with seborrhea capitis and this was coded to the appropriate ICD-9 code of 690.11. The patient's insurance denied the claim because this code can only be used on a pediatric patient ages 0-17. This patient is well over age 17. Now we need to come up with another code. Can we possibly go with 690.18 (other seborrheic dermatitis) even though the documentation states seborrhea capitis? My coders think that 690.10 (unspecified seborrheic dermatitis) will work, but I don't think we can use this since it is not unspecified.

    Any thoughts on what will work here? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  2. #2



    I do think we can go 690.18
    Joseph Amalraj Antonisamy CPC-H

  3. #3
    Join Date
    Apr 2007
    Kokomo, IN

    Default seborrhea

    I agree 690.18

  4. #4


    Thanks to everyone for the replies.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  5. #5


    We also facing denials regarding age like 'Dx code L21.0 is not typical for a patient whose age is 55 yrs. The typical range for this dx is 0-10 months'. does anyone has answer.

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