Author Topic: will different icd-9 diagnosis affect the reimbursement of E&M visits  (Read 981 times)

thelakeshow2k

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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.

oneround

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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
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare

thelakeshow2k

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That's what I thought. Thanks for confirmation.