Coding > Coding

Naturopathic Code(s)

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williamportor:
Hello - I've recently rebilled 1 line item for a Naturopath that Blue Cross refuses to pay on. It is: 98926 (Medicine / osteopathic manipulative treatment) This code was paid on in the past, but now it does not pay. The EOB says: This should be billed with the appropriate code for these services. May I ask...how does one find the "appropriate code" for these services?? I've called customer service multiple times, and they said they do not give out coding advise. Any suggestions? ???

Michele:
What dx codes were on the line?

williamportor:

--- Quote from: Michele on April 26, 2022, 01:26:23 PM ---What dx codes were on the line?

--- End quote ---

The codes used were: G47.00, R09.81, M54.30, M25.551, M25.552, M54.50 / As I said, one or more of these codes were "inconsistent" with procedure code 98926 according to the insurance co. Should one or more of these be left out? Is a modifier needed? The insurance co. won't say. Any suggestions would be welcome.

Michele:
For Osteopathic Manipulation you must use dxs in the M99.01-M99.09 range.  I believe that is the issue.

williamportor:

--- Quote from: Michele on May 01, 2022, 04:43:46 PM ---For Osteopathic Manipulation you must use dxs in the M99.01-M99.09 range.  I believe that is the issue.

--- End quote ---

Thank You. Much appreciated!  :)

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