Wiki "Use Additional Code B95-B97"???

Create Wiki
M

mrsrobinson525

Contributor
Messages
21
Location
Black Mounatin, NC
Best answers
0
We are getting denials on Sinusitis codes. I assume this is happening because providers are not using the additional infectious agent code. In these instances, we do not know what the infectious agent is. I see "Viruses are the most common cause of acute sinusitis, but bacteria are responsible for most of the serious and chronic cases." when doing a quick search on causes of Sinusitis.
The ICD-10 book includes B97.89 (other viral agents as cause of disease classified elsewhere) and B96.89 (other specified bacterial agents as the cause of diseases classified elsewhere), but nothing that seems to be a more generalized code within the B95-B97 code set. I see B99.9 (unspecified infectious disease), but it's not within the noted code set.

What code should we be using?

Any reference materials would be greatly appreciated. TSM
 
mrsrobinson525 said:
We are getting denials on Sinusitis codes. I assume this is happening because providers are not using the additional infectious agent code. In these instances, we do not know what the infectious agent is. I see "Viruses are the most common cause of acute sinusitis, but bacteria are responsible for most of the serious and chronic cases." when doing a quick search on causes of Sinusitis.
The ICD-10 book includes B97.89 (other viral agents as cause of disease classified elsewhere) and B96.89 (other specified bacterial agents as the cause of diseases classified elsewhere), but nothing that seems to be a more generalized code within the B95-B97 code set. I see B99.9 (unspecified infectious disease), but it's not within the noted code set.

What code should we be using?

Any reference materials would be greatly appreciated. TSM
Click to expand...

What is the specific denial remark code being given on the claims? You mentioned that you assume it is happening because additional infections agent code isn't being given - I just wanted to clarify whether that's what the denial code said, or if something else could be going on.

What specific codes are being billed on the denied claims?
 
sls314 said:
What is the specific denial remark code being given on the claims? You mentioned that you assume it is happening because additional infections agent code isn't being given - I just wanted to clarify whether that's what the denial code said, or if something else could be going on.

What specific codes are being billed on the denied claims?
Click to expand...
Denial codes: C0-16 -claims with missing or incorrect information and M64- Missing/incomplete/invalid other diagnosis.

Diagnosis codes:
J32.9 and H61.22 only
J01.01 only
 
You must log in or register to reply here.
Top