AAPC - Back to school
Results 1 to 7 of 7

Thread: Medicare

  1. #1

    Default Medicare

    AAPC: Back to School
    I recently joined a cardiology practice. The biller said that I should only bill ONE diagnosis code for any office visit or procedure as this was part of the new rules. However, I researched this on the CMS website, and, as of 6/2011, it states to use up to 4 diagnosis codes. Any assistance in this regard is appreciated.

  2. #2


    I've been working for a cardiologist for over 2 years and have never heard this! I'll do some checking but if you hear anything else, could you let me know? thanks

  3. #3
    Join Date
    Apr 2007


    Code it as it's documented. You are a coder not a biller or follow up. Smart woman by researching the CMS website. Watch your billers, sometimes they know things and some times they think they know it all! If your wrong I'm sure He/she will tell you. Better to be wrong and code it right the first time. Good Luck!

  4. #4


    I am new to cardiology as well but I have not read anything regarding that.
    I code as it is documented and office visits are the one thing that I dont have any problems with.

    H Hall, CPC

  5. #5


    I'm certain that isn't correct. Some diseases/complications require two diagnosis codes to be coded correctly.

  6. #6


    Quote Originally Posted by bmx1616 View Post
    I'm certain that isn't correct. Some diseases/complications require two diagnosis codes to be coded correctly.

    I am not aware of a rule that states this. But it used to be you could bill up to as many as 8 dx codes per Medicare claim. As far as I know this is the same. When ICD 10 comes around that will increase. Is this the office rule maybe?

  7. #7
    Join Date
    Apr 2007
    North Carolina


    Maybe BMX is referring to ICD-9 codes such as (example only) 731 series. The instructions in italicized text instructs you to "code first underlying diseased, if known, such as..."


    ICD-9 code 785.52 has a statement that instructs you to "code first: systemic inflammatory response syndrome due to....."

    I come across these from time to time...

Similar Threads

  1. Medicare Annual Wellness and Welcome to Medicare visits
    By Borlickd in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 10-04-2013, 07:31 AM
  2. Replies: 1
    Last Post: 05-17-2012, 12:27 PM
  3. Replies: 1
    Last Post: 01-18-2011, 11:54 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.