Coding > Coding

760.71

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Anne:
760.71 is for newborns (fetal alcohol syndrome) but what is code when child is 10 yrs old?

blhoffman:
HI Anne,

I've researched this and could not find an age restriction associated with this diagnosis. One insurer reported they received this diagnosis on patient's from age 0 - 21.

Maybe someone else will have another opinion. Good luck!

Brenda

oneround:
Talked to one of our UM nurses on this.  FAS is mainly determined at TOB due mainly to the flattened/Broaden facial features.  As this is a 10 year old how is the doc making this determination of FAS? is the Dr. stating FAS based upon documentaton in the pt's maternal chart?  What is the CC on your patient?  Is the MD stating the CC is a late effect of FAS.  Could you be a little more specific.

Anne:
yes, it's a late affect of FAS.  I'm actually billing for speech therapy and this is the ICD9 she gave me, which she got from patients referring MD.  Child is a medicaid patient and this code was paid last claim, but when I used it again, it was denied saying "not appropriate for age of patient"

Michele:
Wow this is tough.  I don't show an age restriction on the 760.71 either, but they are denying it.  I couldn't find any other FAS dx for an older child.  Is the FAS the only dx for the speech therapy?

Michele

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