I have seen 1 post that has similar scenario. Unfortunately, the claim was denied due to this dx code.
I was billing for an E/M visits of 99213 and dx is V26.49. The doctor didn't specify the dx. The patient came in for an educational information about conception or getting pregnant. The insurance denied the diagnosis because it is an infertility code. Is there any way I could code it differently? When do I use V26.49? in this case, do I need to code first a dx that doesnt start with a V code? Although, patient has no chief of complaint.
Add'l info: The patient with her husband came in to discuss how to conceive. The husband was curious if pt is pregnant. Doctor performs urine preg test and result came in, negative. They were trying to know how to get pregnant. So doctor gave a brief educational information about it for less than 20 mins.
I was billing for an E/M visits of 99213 and dx is V26.49. The doctor didn't specify the dx. The patient came in for an educational information about conception or getting pregnant. The insurance denied the diagnosis because it is an infertility code. Is there any way I could code it differently? When do I use V26.49? in this case, do I need to code first a dx that doesnt start with a V code? Although, patient has no chief of complaint.
Add'l info: The patient with her husband came in to discuss how to conceive. The husband was curious if pt is pregnant. Doctor performs urine preg test and result came in, negative. They were trying to know how to get pregnant. So doctor gave a brief educational information about it for less than 20 mins.
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