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chronic pain codes

  1. Default chronic pain codes
    Medical Coding Books
    I code for nursing home , assisted living ... visits. I was told that you can't use the chronic pain code of 338.29 for medicare reimbursement. Is that true and what should I use in place of it?

    Second question, do you have to have 2 codes to submit a claim to medicare? i have been only putting 1 code on some claims.

    Adonna

  2. #2
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    Tacoma, WA
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    Quote Originally Posted by adonnal View Post
    I code for nursing home , assisted living ... visits. I was told that you can't use the chronic pain code of 338.29 for medicare reimbursement. Is that true and what should I use in place of it?

    Second question, do you have to have 2 codes to submit a claim to medicare? i have been only putting 1 code on some claims.

    Adonna
    You should code whatever is documented regardless of whether or not Medicare will reimburse for it. You only need one dx code on a claim, but you should put however many it takes to describe the encounter.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. Default coding question
    Thanks for your help.

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