Wiki Reporting more than 12 ICD codes to Medicare

tatumroe

Networker
Messages
36
Best answers
0
Does anyone know the correct way to report additional ICD codes to Medicare that exceed 12 on the first claim? If a provider has 15 diagnosis codes addressed at his/her visit, 1-12 will be reported on the claim but how to we make sure Medicare gets 13-15? We were adding them to a second claim with a category II code but then found out that ICDs are only credited when they are on a claim with a face-to-face encounter. We also know we can't bill a duplicate claim with the same E&M code with ICDs 13-15 because we will run into duplicate denials and then raise an audit flag for so many duplicate denials. Can anyone help?
 
Top