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Dx V45.01

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Kristy:
Hello,

I have a question, please help:

Ohana denied the claim while MED paid as 1' carrier due to pacemaker go with first DX V45.01. According to Ohana, DX start with V can't be primary.

Is there anyone have the answer please?

thank you,
Kristy

Michele:
Usually the primary dx is the reason that they got the pacemaker:  irregular heartbeat....etc.  Then the V code is secondary dx.

Kristy:
Thank you for your reply.

I found that Ohana paid for CPT 93289/Dx V45.01 before, I will call them to request reprocessing.

Patient has DX 425.4, 428.22, 458.1 go with CPT 99213/M25 and claim was paid.

Regards,
Kristy

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