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Principal Procedure Code Denial

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kristin:
When I look up 94.65, that comes up as a ICD-9 code, and NOT a CPT procedure code.

Only diagnosis codes changed with ICD-10, not CPT procedure codes.

RichardP:

--- Quote from: kristin on October 06, 2015, 07:00:11 PM ---Only diagnosis codes changed with ICD-10, not CPT procedure codes.
--- End quote ---

I'm speaking out of ignorance here, since we don't do hospital billing.  The document at the link below begins with this first sentence:

The ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets.

I've seen this statement in various forms over that past few months as I have been reading and switching the diagnosis codes over to ICD-10.  We have clients who see patients in the hospital, both as in-patient and out-patient.  So I was/am interested in making certain I understand which CPT codes are changing to ICD-10 and which are not.

Somewhere in my reading (can't put my hand on it at the moment) I saw that ICD-10 CPT codes applied only to institutional inpatient billing.  The inpatient CPT codes for providers seeing patients in the hospital/institution are not changing, but the inpatient CPT codes used by the hospital / institution are.

The OP makes mention of the UB-04 form, which is institutional, which makes me think maybe their CPT Codes have changed.  But, again, I'm speaking out of ignorance here.

https://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10Introduction20140819.pdf

Michele:
94.65 is definitely from the ICD9 set.  Is box 74 required for detox?  I didn't think that was one of the required fields.

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