Medical Billing Forum

Payments => Insurance Payments => Topic started by: Kristy on March 09, 2012, 03:35:29 AM

Title: Dx V45.01
Post by: Kristy on March 09, 2012, 03:35:29 AM
Hello,

I have a question, please help:

Ohana denied the claim while MED paid as 1' carrier due to pacemaker go with first DX V45.01. According to Ohana, DX start with V can't be primary.

Is there anyone have the answer please?

thank you,
Kristy
Title: Re: Dx V45.01
Post by: Michele on March 11, 2012, 07:00:18 AM
Usually the primary dx is the reason that they got the pacemaker:  irregular heartbeat....etc.  Then the V code is secondary dx.
Title: Re: Dx V45.01
Post by: Kristy on March 12, 2012, 03:53:06 AM
Thank you for your reply.

I found that Ohana paid for CPT 93289/Dx V45.01 before, I will call them to request reprocessing.

Patient has DX 425.4, 428.22, 458.1 go with CPT 99213/M25 and claim was paid.

Regards,
Kristy