it is VERY weird on medicare sometimes w/the pain dx of 729.5. on our software system there's only space for 4 dx codes -- if patient is having all three procedures done, i can't add 729.5 to the 250.60, 110.1, 703.8, 700 because there simply isn't room. some claims medicare pays it without the pain dx and sometimes they send a request for records......it's very strange. i wonder if it just depends on who the processor is.....if there are still actual "claim processors"....good luck!
Software wont allow ...
When I posed the question to our software vendor that we needed to be able to use more than just 4 diagnosis codes, their comment was "it's not a priority right now since ICD-10 was delayed until 2015." Unless an insurance company sends us something stating we have to be able to use more than 4 dx codes (right now we're having to "split" bill claims w/more than 4 dx codes) our software people said it's just something they will eventually get to.