Results 1 to 6 of 6

Code for diet controlled condtion

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default Code for diet controlled condtion
    Exam Training Packages
    What ICD-9 code would you use for a lab draw of hyperlipedemia to show that the condition is diet controlled and not med controlled? Our coders have been using the code for dietery survallance and this does not seem correct to me. Is there an ICD-9 code for diet controlled conditions? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    I would use 272.4 for hyperlipidemia lab draw - IF that's what the order was for - "hyperlipidemia". Controlled or not, they still have hyperlipidemia - right?
    I wouldn't use a surveillance code, not even secondary.
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  3. #3
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    I am in total agreement. The problem is that my coders are telling me that Medicare requires a secondary code to explain if the condtion is med controlled or not. The problem is I have never been able to find anyone else who is having this same problem. Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  4. #4
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    hmm.. I've never heard of that before - but if you check your NCD list - 272.4 *IS* a covered dx for hyperlipidemia, no secondary dx is needed.
    I guess I'd request a copy of whatever information they have that says you need a second dx to get the 272.4 covered and go from there. (on the phone to Medicare, etc).
    Like I said, I've never heard of it, we've never had a problem with it being covered using just their hyperlipidemia code. And frankly, I wouldn't even know what secondary code to use, what do they use?
    Donna, CPC, CPC-H

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Question
    Quote Originally Posted by dballard2004 View Post
    I am in total agreement. The problem is that my coders are telling me that Medicare requires a secondary code to explain if the condtion is med controlled or not. The problem is I have never been able to find anyone else who is having this same problem. Thanks.
    I'm curious - do your coders feel the same way about diabetes? I've never heard of this either. I have seen LCD's that requires second diagnosis codes based on medial necessicty, but never to document that a condition is controlled by diet vs medication...
    Lisa Bledsoe, CPC, CPMA

  6. #6
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    I don't get it either. I think I will take your advice and ask for a denial to see exactly what they are talking about. Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

Similar Threads

  1. diet counseling after ESWL
    By anneabel in forum Urology
    Replies: 0
    Last Post: 09-24-2013, 10:09 AM
  2. HCG Diet
    By Herbie Lorona in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-02-2010, 02:39 PM
  3. Annual Review of Chronic Condtion-Preventative?
    By dballard2004 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-14-2009, 12:45 PM

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?

Login

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.