diagnosis codes

  1. K

    Wiki Too many DX Codes for Medicare?

    I have a physical therapist wanting to submit a claim to Medicare with 6 DX codes for their evaluation (97163 GP & 97110 GP). Their primary diagnosis is G35 (MS) but the provider has also added M21.372, M54.6, M54.59, M25.552, M25.562. I am worried this will lead to a denial. Thoughts?
    • kkornkven167
    • Thread
    • coding diagnosis codes eval & management medicare
    • Replies: 3
    • Forum: ICD-10
  2. M

    Wiki Neuropsychology Diagnosis Coding vs Referring Physician diagnosis-what goes on the claim?

    We have a neuropsychologist on staff and want to make sure we are coding the diagnosis list properly. Should the neuropsychologist only list the diagnosis codes founded in the evaluation or will it ever include diagnosis codes (founded or unfounded) from the referring provider?
  3. J

    Wiki 20610 performed unilaterally with a bilateral diagnosis code

    Hi, I have come across the situation a few times where the provider has diagnosed a patient with bilateral OA of the knees (M17.0). During a visit, they performed a joint injection into only one of the knees. In this scenario, would you report a bilateral diagnosis code since they have...
Top