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Thread: Ct scan of Neck w/ contrast

  1. #1

    Default Medicaid denials for legit dx--PLZ HELP!

    AAPC: Back to School
    Does anyone know why Medicaid would deny CPT 70491 (Ct scan of Neck w/ contrast) for dx code 7231 (neck pain)? Is anyone else having this problem? Any idea how to fix it? Thanks
    Last edited by mbcstudent; 11-03-2011 at 11:53 AM.

  2. #2
    Join Date
    Apr 2007
    Alexandria, LA


    it's probably a diagnosis code/procedure code mismatch
    70491 is soft tissue of the neck while 723.1 is intended for pain in the/caused by cervical spine.

    if this was CT soft tissue of the neck, you probably want 784.1 for a diagnosis
    if this was CT of the cervical spine, then 723.1 would be appropriate.

    (of course, it all depends on what was really ordered, done, and documented).

    Donna J Richmond

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