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ICD 10 Coding Alert

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See Which Code is Unnecessary with this Dx Combo

Published on Wed Dec 04, 2019

Question: A private payer has denied our claim for a level-three new patient evaluation and management (EM) office visit for “missing/incomplete/ invalid principal diagnosis.” One of our coders says we cannot report M54.16 and M51.26 on the same claim, but I have never seen anything stating this. Who is right and how should we have coded the service? Virginia Subscriber [...]
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