Look to Z13.4 as secondary code with ages and stages screenings. Most pediatric practices bill for ages and stages screening visits almost every day—but thanks to the transition to ICD-10, some of those claims are causing headaches across the country. [...]
Question: What’s the correct diagnosis code for a negative anal Pap screening? New York Subscriber Answer: When your Pap test findings are negative, you should revert to the ordering diagnosis. Because you stated that this was a screening test, not [...]
Question: What would be the appropriate CPT® code and ICD-9 code to report when a Spence Children’s Anxiety Scale is done at a preventive and non-preventive visit? Tennessee subscriber Answer: The Spence Anxiety Scale is a scorable standardized screening test [...]
Question: We just starting billing code 99420 (Administration and interpretation of health risk assessment instrument) and the patient's insurance company rejected the claim. When we called them to ask why, they said that we need to use a diagnosis of [...]
Make sure you select the right diagnosis code when alcohol is a factor an ED visitThe New Year is upon us and with it comes an increase in alcohol-related presentations to the ED. Although many presenting problems are injuries or [...]
Question: Our insurer has been denying all of our claims when we report 96110 with V20.2. Can you advise a better diagnosis code to report with these screening tests?Texas SubscriberAnswer: If the patient has any symptoms that prompted you to [...]
These codes describe cognition problems due to neurologic trauma. The AHA Coding Clinic restricts the use of 799.5x to conditions caused by a neurologic trauma such as traumatic brain injury. Therefore, you cannot use this code for attention or hyperactivity [...]
Question: Insurers deny 96110 and/or 96110-59 when we bill both at an 18-month-old visit. What might be the problem? Maryland SubscriberAnswer: You're correct in reporting 96110 (Developmental testing; limited [e.g., Developmental Screening Test II, Early Language Milestone Screen], with interpretation [...]
Question: What diagnosis should we report with 99420 for postnatal depression screenings? Missouri Subscriber Answer: The most accurate diagnosis is V79.8 (Special screening for mental disorders and developmental handicaps; other specified mental disorders and developmental handicaps). You're correct in reporting [...]
Denials possible without separate ICD-9s for immunization admin, supply. Do diagnosis coding choices for your FP's preventive medicine services drive you batty? Turns out there's a one-stop solution for ICD-9 coding for a preventive medicine service with screenings or immunization [...]
