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CPT's vs ICD's?

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Michele:
If DMK's answer didn't help, I would call the carrier (State Farm) and ask them.  They usually are helpful in these situations.  Not always, but I've had good luck.

Michele

dfranklin:
DMK so if I am putting the 1st 3 codes (739.x or 847.x) as are of complain for the 98941 what about the other CPT's that were done? Will the 739.x's and/or 847.x's take care of those procedures as well? Or do I need to submit the 98941 with the 739.x's seperately from the other cpt's so I can use the other Diag codes?

Here is the example I used before:98941-AT, 98943-51, 97110 and G0283 (formerly 97014).  Can these co on one claim with the 739.x's supporting them all or do I need to break up the cpt's on to different claims so I can use different codes?

Thanks!

DMK:
I see there you have an extremity adjustment as well, so put your 739.x codes (at least 3 to bill a 3-4 adjustment), then the extremity dx code (elbow, knee, wrist, arm, leg....whatever area) in the 4th dx slot, then you can pile on as may dx's as there are.  Just know that only the first 4 show on the claim form.  The doctor MOST LIKELY will have sent a short report of the injury to the carrier, they usually request one.  That report can show all of the dx's.  Also, if you get something kicked out, or not paid, call the adjuster on the case.  State Farm is usually fairly easy to get to the adjuster.  Explain that there are more than 4 dx's, if they didn't get a report from the doctor that will help to re-process the kicked out claims and will flag the next claims.

Hope that helps!  State Farm is one of the better payers in our region.  AAA is the best!

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