Medical Billing Forum
Payments => Insurance Payments => : Kristy March 09, 2012, 06:35:29 AM
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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
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Usually the primary dx is the reason that they got the pacemaker: irregular heartbeat....etc. Then the V code is secondary dx.
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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