Wiki Claim denial due to an ICD-10 code

[August2]

We are a DMEOP facility and we are billing for a custom AFO. Nebraska Total Care is kicking out the claim stating one of my DX codes has notes located under applicable section headings but will not tell me which DX they are referring to. I looked up all of these codes in my ICD-10 book and cannot see where I made my mistake. Here are a list of my DX and the order I used them too. Any suggestions?

G90.09 Other idiopathic peripheral autonomic neuropathy
M62.81 Muscle Weakness (generalized)
Z89.411 Acquired absence of right great toe
M21.41 Flat foot, right foot
M21.42 Flat foot, left foot

 

[location3]

We are a DMEOP facility and we are billing for a custom AFO. Nebraska Total Care is kicking out the claim stating one of my DX codes has notes located under applicable section headings but will not tell me which DX they are referring to. I looked up all of these codes in my ICD-10 book and cannot see where I made my mistake. Here are a list of my DX and the order I used them too. Any suggestions?

G90.09 Other idiopathic peripheral autonomic neuropathy
M62.81 Muscle Weakness (generalized)
Z89.411 Acquired absence of right great toe
M21.41 Flat foot, right foot
M21.42 Flat foot, left foot

G89.09
Acquired absence of limb

Includes: amputation status
postprocedural loss of limb
post-traumatic loss of lim
Excludes1: acquired deformities of limbs (M20-M21)

you should not use G89.09 with (M20-M21) and use appropriate Left/Right modifier and ICD. I hope this would helpful. Thank you!

 

[August2]

I did not bill G89.09. I used G90.09?

 

[location3]

G90.09 Other idiopathic peripheral autonomic neuropathy

This is your message, i hope replacing G89.09 to G90.09 should work.

 

[vinessachilders]

M21.4X is mutually exclusive with Z89.411. Either remove M21's or remove Z89.411.