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76885 (us exam infant hips) on a 7 month old

  1. #1
    Default 76885 (us exam infant hips) on a 7 month old
    Medical Coding Books
    Does anyone know what the appropriate diagnosis code would be for a 7 month old who had a US exam of her hips? The surgeon has used 763.0, but the insurance company is refusing to pay stating Dx inconsistent with patient age. Thanks.

  2. #2
    Default US 7 mos
    That denial is true since it is no longer considered a newborn...Did you call the physician for signs or symptoms?

  3. #3
    This exam is usually done to look for hip dysplasia in infants. Look at V82.3 to see if this code applies to your situation. I hope that this helps you a little.

  4. #4
    Thank you. Apparently the doctor was "ruling out" hip dysplasia in this 7 month old following a breech birth. Looks like we will have to go with symptoms?

  5. #5
    In most of the exams that I have coded for this, there is usually a hip click, and sometimes a leg length discrepancy. Good luck!

  6. #6
    The doctor wrote "no click" on the documentation. I have put in a request for signs and/or symptoms for this exam. Can't wait to find out what the reason was.

  7. #7
    Hip pain. Thanks everyone!

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