Coding > Coding

Diagnosis Ordering (Chiro)

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Michele:
Yes, very good point.  Your dx's must support the services being rendered!

Michele

Christy:
can anyone help me figure out why these medicare chiro claims were denied for non cov dx?  all were billed 98940- AT,

1) 739.3    724.2   724.3

2) 739.3   724.3    739.1

3) 739.3   724.3    739.1   723.1

4) 739.3     724.3     722.52    739.1

thanks!

DMK:
It must be a LCD problem with the 2nd dx of lumbago and sciatica.  EXCEPT your 4th example.  The 722.52 should be your 2nd dx (you'll get a longer treatment plan) before the 739.1.  Be sure to check the LCD's for your specific Medicare processor.

You may want the doctor to be more specific with his/her complicating factor.  Sprain/strain or radiculopathy are usually more correct than lumbago or sciatica.

There was a time in the not too distant past where the Primary ICD-9 code was an 839.XX code.  So, again, verify YOUR particular LCD.

Christy:
thanks sooooo much, DMK! ;D

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