celcano
Networker
Good afternoon, all. I have an insurance carrier who is denying claims when ICD-10 codes G56.03 (carpel tunnel syndrome, bilateral, upper limbs) and M54.16 (Radiculopathy, lumbar region) are billed together. The denial states that these two codes cannot be billed together "based on the Excludes 1 Notes instructions in the ICD-10-CM Official Guidelines for Coding an Reporting {see Excludes 1 Notes under heading "Nerve, nerve root and plexus disorders (G50-G59}." This does not make any sense to me as these are two different of the body. I would understand if these were 2 lumbar diagnoses. Can someone help put this in perspective for me or how I can fight this denial?
THANK YOU for your assistance.
THANK YOU for your assistance.