10-13-2017, 05:56 AM | Community Wiki

Results 1 to 6 of 6

Seborrhea capitis

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default Seborrhea capitis
    Medical Coding Books
    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, CRHC, AAPC Fellow
    Coder

  2. Default
    Hi,

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

  3. #3
    Default seborrhea
    I agree 690.18

  4. #4
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks to everyone for the replies.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  5. Smile
    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.

  6. Default L21.0 Seborrhea Capitis in adult - denial
    Yes, denial from Med Adv. plan for 66 year old. States the diagnosis code L21.0 is not typical for a patient whose age is 66 years, the typical age range for this diagnosis is for 0-17 years.
    Per provider, entering L21.8 Seborrheic Dermatitis of the scalp.
    Last edited by mrdave; 07-18-2018 at 01:17 PM. Reason: Update of issue

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.