Medical Billing Forum

Coding => Coding => Topic started by: thelakeshow2k on June 22, 2010, 12:36:54 PM

Title: will different icd-9 diagnosis affect the reimbursement of E&M visits
Post by: thelakeshow2k on June 22, 2010, 12:36:54 PM
dr asked if using 573.3 (hep unsp) will cause lower reimbursement than 070.54 (hep c chronic) or 070.30 (hep p unsp) for any office visits/consults (99202-99205)?  thanks.
Title: Re: will different icd-9 diagnosis affect the reimbursement of E&M visits
Post by: oneround on June 22, 2010, 01:41:03 PM
With the E/M code range that you have indicated it appears that the MD is treating New Patients in an OV/OP setting.  Your reimbursement is based upon the correct CPT used and not your DX.  DX codes just like your CPT codes MUST always be coding according to correct dcoumentaion
Title: Re: will different icd-9 diagnosis affect the reimbursement of E&M visits
Post by: thelakeshow2k on June 22, 2010, 02:15:35 PM
That's what I thought. Thanks for confirmation.