Anesthesia Coding Alert

6 Easy Questions to Ask Yourself About Medical Necessity

Let these answers help keep your diagnosis coding on track.

When you're trying to get to the bottom of a diagnosis-based denial, start moving in the right direction by asking yourself these questions recommended by Kelly Dennis, MBA, ACS-AN, CANPC, CHCA, CPC, CPC-I, owner of Perfect Office Solutions in Leesburg, Fla:

1. Is the diagnosis code valid for the date of service billed?

2. Is the diagnosis code limited to being reported as a secondary diagnosis only?

3. Is the diagnosis coded to the highest specificity?

4. Is additional information and/or diagnosis codes necessary?

5. Is the payer denying "unspecified" diagnosis codes?

6. Is the diagnosis code appropriate for the gender and age?