AAPC - Back to school
Results 1 to 3 of 3

Thread: E/M Dx. Codes

  1. #1

    Cool E/M Dx. Codes

    AAPC: Back to School
    I have providers that do there out coding but what I am looking to find out is:
    A patient is having blood work the dx. code needs to be matched with the blood work but what if the patient recieves a dx. code but doesn't have the problem? ex. Lipids being drawn dx. code 250.00 is matched, patient is not diabetic though... Is this appropriate to do? The patient is then after that being processed with the dx. code 250.00 and does not have this disease. Can someone help me?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    This absolutely NOT appropriate. You may never append a dx code to a claim that the patient does not have. That is using a dx code just to make a clim pay and that is intentional fraud. Also you are giving the patient dx that they do not have but their insurance co thinks they do. This will cause issue for the patient with respect to insurance rates, life insurance, pre-existing conditions. This is so wrong!

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    Thank you for your reply. I thought it was but wanted to make sure before I proceeded.

Similar Threads

  1. Replies: 4
    Last Post: 01-30-2015, 11:36 AM
  2. Reimbursement for consult codes vs medicare new office/hospital eval codes
    By cardiocoder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-20-2014, 08:09 PM
  3. REV codes which now require HCPC/CPT codes
    By Temeka in forum Medicare Regulations
    Replies: 1
    Last Post: 02-15-2011, 08:39 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?


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.