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Wiki Initial office visit diagnosis

szareen

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Lombard , IL
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I had a patient in a office who came in for initial fertility check up, she was trying to conceive for 2 years. She does not have a confirmed infertility dx yet. DX V26.49 denied by her insurance as she has only diagnostic coverage. I don't have any sign or symptoms to code. How should I code the dx for office visit 99204? Please help?

Thanks

San
 
I had a patient in a office who came in for initial fertility check up, she was trying to conceive for 2 years. She does not have a confirmed infertility dx yet. DX V26.49 denied by her insurance as she has only diagnostic coverage. I don't have any sign or symptoms to code. How should I code the dx for office visit 99204? Please help?

Thanks

San
That is the only available code to use. Many payers just do not cover fertility counseling or treatments. It will be payient responsibility.
 
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