Wiki 12 year old exposed to Sharps container

Create Wiki
A

Ann Nelms

Guest
Messages
2
Best answers
0
We are a Pediatric office. We have a child who was exposed in another Dr office to a Sharps container. Apparently, he was able to remove some needles from the container and took them home. He did not have a needle stick that we are aware of. Mom and Dad brought him in to have HIV and HEP testing done. We used ICD V15.85 as the primary dx. Medicaid is denying the service as not medically necessary. We also billed a 99213. Any suggestions on what could have been billed differently?
 
Some possiblities

Who can tell WHY Medicaid denies things ... sometimes I think it's just to make us crazy.

Did you also use the E-code for needle stick?

Did Medicaid deny BOTH the E/M and the lab test?

F Tessa Bartels, CPC, CEMC
 
Thank you Tessa for your response.
He didn't actually get stuck that we are aware of. His parents were rightfully concerned when they found him with the needles, but he wouldn't admit to getting stuck.
 
You must log in or register to reply here.
Top