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Iv Coding denials needing qualifing procedure

  1. Red face Iv Coding denials needing qualifing procedure
    Medical Coding Books
    I Was wondering if anyone can help me fiqure out why blue cross denied an Ivp done in a urgent care setting stating it needed a qualifying procedure done with it. the origianl encounter was coded as such

    592.0 as the dx

    96374 IVP
    96375 IVP additional
    82150 amylase
    j2270 morphine
    j1885 ketorlac
    j2405 ondansetron


    any help would be greatly appreciated Im going crazy with these denials.

    Darcy

  2. #2
    Default
    Can you post the surgery note so we can see times and ect...?


    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  3. #3
    Location
    Columbia, MO
    Posts
    12,841
    Default
    Quote Originally Posted by daah cpc View Post
    I Was wondering if anyone can help me fiqure out why blue cross denied an Ivp done in a urgent care setting stating it needed a qualifying procedure done with it. the origianl encounter was coded as such

    592.0 as the dx

    96374 IVP
    96375 IVP additional
    82150 amylase
    j2270 morphine
    j1885 ketorlac
    j2405 ondansetron


    any help would be greatly appreciated Im going crazy with these denials.

    Darcy
    I need to know if you are coding for the facility or the physician.

    Debra A. Mitchell, MSPH, CPC-H

  4. Default
    Debra,
    Im coding for the facility. Thanks again for getting back to me. And to babierman im not able to post the actual notes sorry.

    I really appreciate any help at all trying to figure out this confusion.


    Thanks,
    Darcy

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