Results 1 to 6 of 6

Thread: L8680

  1. #1
    Join Date
    Apr 2007
    Posts
    15

    Default L8680

    Promo: Code Books
    We are getting a denial from an insurance company stating that dx code 722.73 is not a valid diagnosis code. Does anyone know where I can find information to support this code as an appropriate code for L8680?

  2. #2

    Default

    (These are my opinions and should not be construed as being the final authority. Other opinions may vary.)

    What is your location, what is your place of service, who is the insurance carrier, and what is the diagnosis (not the code)?

    Richard Mann, your pain management coder
    rkmcoder@yahoo.com

  3. #3
    Join Date
    Apr 2007
    Posts
    15

    Default

    Office, 722.73, Medical mutual

  4. #4

    Default L8680

    Here is the link for the CMS database of NCDs and LCDs.

    http://www.cms.gov/mcd/search.asp?from2=search.asp&

    You can either search for the national coverage determination or the one for your region and carrier.

    Just put in the HCPCS/CPT code or a key word and it will deliver all related coverage determinations.

    You can put them in the "basket" and email them to yourself for future reference.

    The LCDs and NCDs will have all dx codes that CMS or your carrier have determined meet the standard for medical necessity

    Melanie

  5. #5
    Join Date
    Apr 2007
    Posts
    1,486

    Default

    722.73 is intervertebral disc disorders with myelopathy. I have not seen SCS procedures performed for disc displacement that is creating myelopathy. Usually the selected procedures would be laminotomy with excision of disc for patient presented with that dx. I would look on the MRI report and re confirm dx with physician.

  6. #6

    Default

    The National and Local coverage determinations will tell you which diagnosis codes are acceptable as primary codes and which need to have additional supporting diagnoses to be payable.

Similar Threads

  1. Code L8680
    By joann.goldman@risingms.com in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-22-2015, 09:41 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?

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.