Author Topic: BILLING MEDICARE NEED DX HELP  (Read 1008 times)

KARREN

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BILLING MEDICARE NEED DX HELP
« on: October 08, 2010, 08:27:00 AM »
BILLING FOR NURSE PRACTIONER:  MEDICARE PT DIAGNOSIS: FACIAL TRAUMA  (PT SLIP & FALL AT HOME) DO I USE 959.9 OR E885.0?   ( EDEMA 782.3, SHOULDER PAIN 719.41, KNEE PAIN 719.46)

PT SERVICES 99213,97140 59GP,97530 GP,97024 GP
 

oneround

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Re: BILLING MEDICARE NEED DX HELP
« Reply #1 on: October 08, 2010, 03:57:50 PM »
From your description and not looking at any chart.  Injury to face from slip and fall at home.  If this were the description that was written in a  report and given to me I would go 959.09 (Injusry to face and neck)   I would steer towards E888.8 and not E885.0 as 885.0 is fall from a non-motorized scooter..
This is my interp only based upon what is written.  I would consult with your inhouse coder for further clarification.
« Last Edit: October 08, 2010, 05:32:58 PM by oneround »
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare

Michele

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Re: BILLING MEDICARE NEED DX HELP
« Reply #2 on: October 09, 2010, 08:06:33 PM »
The E codes are usually secondary to the 9**.**

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