I recently had a patient that was diagnosed with Gastroparesis. I used this as my principle diagnosis as it was the main thing they were treating. I recieved a call from the Billing supervisor stating that it can not be used as a principle diagnosis. Does anyone have any feedback on why this is not able to be used as the principle diagnosis. In the ICD-9 book it states to "Code first underlying disease, such as: diabetes mellitus (249.6, 250.6)" However this patient does not have diabetes. Can this code be used by itself? Any help is appreciated. Thanks in advance!
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