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Thread: # of Dx codes per CPT code - Does the 5010 transaction change

  1. #11


    AAPC: Back to School
    Can anyone provide a direct link to this information on professional diagnosis and pointers for 5010/837 listed above? Been searching on CMS and can not find specific details regarding it.

    Thank you,

  2. #12


    Is it still only 4 codes per a claim line now that we have to use the new version 02/12 claim forms?

  3. #13
    Join Date
    Apr 2007
    Columbia, MO


    you may list a maximum of 12 dx codes but you may link only 4 per line item CPT.

    Debra A. Mitchell, MSPH, CPC-H

  4. #14

    Question 99354 code

    hi Rhonda, I have a question for you

    we use the 3M program to code and we have EHM, we are HMO and we give service to Medicare and Medicaid patients
    the questions is,
    3M accept only 12 diagnosis, if the phycian document more than 12, which CPT code we may use in the second line for complete the list of the diagnosis documented, could be 99354 code???????, or we could finish the complete dx with category II code 1159F and 1160F when the Doctor review all medication in this visit ??????? , example:
    99213- 496,427.31,440.0,272.4,244.9,311,723.1,715.00,293. 80,331,83etc
    ?????? - #,#,#,#,#

    those ???????= which CPT (99354 or Cat II codes)
    thanks: confused:

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