CapeCodYankee
Contributor
New to ortho coding/billing and would like someones' opinion/guidance on DX to apply. Patient had ORIF (ankle)surgery on 03/16/10 by our orthopeadic surgeon. Patient had follow-up care during 90 day global period, but returns to clinic complaining of chronic pain in ankle & is seen on 07/14/10- we are now beyond 90 day global period for this surgery.
I am coding 99212 for E&M o.v. charge, but should I be applying DX of 719.47 (pain in ankle) or V338.28 (post op pain)? I want to ensure payment from Medicare on this visit since it is outside 90 day global & am worried by applying the "V" DX it will cause MCR to question claim & delay payment.
Can anyone give me their suggetions on which DX is appropriate? Thanks in advance!
I am coding 99212 for E&M o.v. charge, but should I be applying DX of 719.47 (pain in ankle) or V338.28 (post op pain)? I want to ensure payment from Medicare on this visit since it is outside 90 day global & am worried by applying the "V" DX it will cause MCR to question claim & delay payment.
Can anyone give me their suggetions on which DX is appropriate? Thanks in advance!