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Thread: 82728

  1. #1

    Default 82728

    AAPC: Back to School
    New to labs and need some info...pt had tests 84439, 84443, and 82728. Insurance is denying 82728 as inclusive, dx billed with 82728 was 729.5 Any thoughts?
    Ann Marie CPC
    New Britain, CT

  2. #2
    Join Date
    Apr 2007
    Alexandria Minnesota Chapter


    I don't know why it would be inclusive, but that dx (729.5 - Pain in Limb) is not on the list for covered codes from CMS (http://www.cms.hhs.gov/CoverageGenIn...al200910.pdf#7).

    However, 719.40-719.49 (Pain in joint) is on the list. Is there documentation to support this?

    I don't know if the dx change will make a difference though if it's being denied as inclusive (not due to non-covered dx). ??

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