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Orthopedic Coding Alert

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Combination Diagnosis Codes

Published on Tue Nov 05, 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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