(818)

Ill-defined fractures of upper limb (818)

ICD-9 code 818 for Ill-defined fractures of upper limb is a medical classification as listed by WHO under the range -FRACTURE OF UPPER LIMB (810-819).

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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 ]

Preoperative evaluation and Transitional Care Management

Good Evening, Working on a patient's visit where an preoperative evaluation along with a transitional care management was done at the same time. The TCM-99496 dx48.0 Neoplasm of uncertain behavior l... [ Read More ]

Pre-op Ureteral Stent placement dx?

I'd agree with you on assigning the diagnosis that is the reason for the surgery, but I would not assign Z01.818 because the placement of a stent is not an 'examination'. If the procedure is required... [ Read More ]

Pre-op Ureteral Stent placement dx?

I'm probably overthinking this, but my docs frequently get asked to place stents for ureteral identification when patients are having other surgery - GI and GYN are most common. When I bill them, ther... [ Read More ]

Pre-Op coding

Z01.818 cannot be coded on it's own, insurance payors will likely deny the claim. I've seen this happen many times in my edits and denials. Z12.11 would not be applicable in this case, unless the pers... [ Read More ]

Pre-op Bariatric Psych evals

[QUOTE="magdalena.iordan@yahoo.com, post: 452729, member: 165825"] [B]96130[/B] Hello fellow coders, I was reading through the posts on this topic and I am in the same boat as you guys when it come... [ Read More ]

Zoladex for Ovarian Suppression in premenopausal women? breast cancer zoladex

I am curious to know how people are coding for Zoladex when given for ovarian suppression for premenopausal women starting chemo or an AI? In the past we have used the Z codes Z31.84 for fertility pre... [ Read More ]

Job Opportunity

Primary care office in Orchard Park looking for FT Medical Biller with Medent experience. M-F Benefits, Insurance, Vacation, 401k Send resumes to [EMAIL]Mfalkowski@opfppc.net[/EMAIL] Thank You ... [ Read More ]

Pre-Op coding

If the patient is scheduled to have a procedure following the colonoscopy and that's the reason for the colonoscopy, Z12.11 is not applicable. I see patients have EGDs prior to bariatric surgery. In ... [ Read More ]

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