ICD-9 code 056.01 for Encephalomyelitis due to rubella is a medical classification as listed by WHO under the range -VIRAL DISEASES ACCOMPANIED BY EXANTHEM (050-059).
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I would check your contracted rates with the plan, or check the CMS allowable for those codes as your base line. Here's the link:
[url]http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Part-B-Dru... [ Read More ]
[url]http://www.cgsmedicare.com/kyb/coverage/mr/PDF/99205.pdf[/url]
This audit tool seems to support use of the "all others negative" type documentation, which is supported by the official guideline... [ Read More ]