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Principal Procedure Code Denial

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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.


--- 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.

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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