Wiki Denial for diagnosis code I85.00

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mmsllc73

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Hello everyone! I'm looking for some guidance, I'm new to billing Gastro. My provider performed EDG 43235 with dx code I85.00. Aetna denied the claim for a diagnosis code inconsistent with the procedure. The patient also has cirrhosis of the liver, not due to alcohol. I billed the I85.00 only. Should I have billed both codes together? I appreciate your help.
 
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There's a note in the ICD-10 manual instructing you to code first liver disease if applicable. If there's liver disease, they instruct you to code I85.10 or I85.11.
Correct coding would be K74.60, I85.10 based on your post.
 
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