(812.5)

Fracture of lower end of humerus open (812.5)

ICD-9 code 812.5 for Fracture of lower end of humerus open is a medical classification as listed by WHO under the range -FRACTURE OF UPPER LIMB (810-819).

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Postprocedural Status Diagnosis

Good Morning: If I am reading your question correctly, I would have 1 question and 1 recommendation. 1. Is the postoperative chest x-ray being performed only to "confirm placement" of the pacemaker ... [ Read More ]

Pre-op/ permanent sterilization

If you are the gyn performing this visit with a decision for sterilization, I don't believe any of these codes should be submitted on your claim. The ORDER for PST covid swab should have Z01.812 prima... [ Read More ]

Pre-op/ permanent sterilization

Patient is seen for counseling discussion, desires permanent sterilization. After the counseling patient chose surgical permanent contraception; laparoscopic salpingectomy. Procedure/surgical plannin... [ Read More ]

Pre-op Z-code question

Medical necessity edits are based on payer reimbursement policies (usually Medicare LCDs) so you would need to take a look at your particular payer’s published policies to see whether or not the edi... [ Read More ]

Pre-op Z-code question

Lab order diagnoses codes are Z01.818 and M16.11 - only labs were charged and our guidelines are to change the Z01.818 to Z01.812 in this situation; however, when I do that, the Hgb fails medical nece... [ Read More ]

Anyone ever bill for pain management?

[QUOTE="DGgirll20, post: 501039, member: 693252"] For CPT codes 64492 and 64495, the need for a three-level procedure may be considered under unique circumstances and with sufficient documentation of ... [ Read More ]

billing for 62321

MCR does not reimburse for A4550, for us here in NY they do not even pass through EDI. Also your DX codes are incorrect. DX M54.2 should be M54.12 for Cervical Radiculopathy and DX code M47.812 will n... [ Read More ]

Cataract coding guidelines

My Ophthalmologists use diagnosis codes: H25.811 and H25.812 instead of the bilateral code. I have not been able to find guidelines that state they have to use the bilateral diagnosis code instead of... [ Read More ]

Diagnosis coding for combined form of age related cataracts

Is there a specific guideline that instructs us to use a bilateral diagnosis code of H25.813 instead of using the diagnosis codes H25.811 and H25.812? I know there is a guideline for glaucoma coding ... [ Read More ]

Procedure code 64490 has not met the associated Code-to-Code relationship criteria for CMS ID(s) L34892 em services facet injection lcd denial pain management

"Per LCD or NCD guidelines, procedure code 64490 has not met the associated Code-to-Code relationship criteria for CMS ID(s) L34892" This is the denial received for an AARP Medicare Complete plan wher... [ Read More ]

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