1. Virginia Gekeler
   Posted 8 months ago #
   

   366.03 - I'm trying to use this diag. code with procedure codes 92004 & 92015 and I'm getting error (Other Accident Illiness date is missing.

2. SuperCoder
   Posted 8 months ago #
   

   What kind of error are you facing?

3. SuperCoder
   Posted 8 months ago #
   

   Please check in the previous claims. Perhaps the patient has been recently or still undergoing treatment for any accident, and the Insurance in the claim form is filed with "Workers' comp" perhaps, so we need to change the Insurance which should not be "Workers' comp" for the present claim.
   Either the above reason or such similar reasons have raised the above errors. Please check the Insurance to which this claim was billed.

4. Virginia Gekeler
   Posted 8 months ago #
   

   This is a new diagnosis that we haven't ever used before. The claim is for an exam and the insurance is
   Medicare. The diagnosis is what is causing the problem. It's kicking out the error when I run it through the
   edit check. So the claim isn't even getting to the insurance company. We just haven't ever used diagnosis code 366.03.

5. SuperCoder
   Posted 8 months ago #
   

   The error you raised last time compelled me to analyze the rejection on that angle. You can also try out by changing the diagnosis code as 366.03 is truly not compatible.
   You can try out a compatible diagnosis code as per the report from the following list:
   367.0 Hypermetropia
   367.1 Myopia
   367.20 Unspecified astigmatism
   367.21 Regular astigmatism
   367.22 Irregular astigmatism
   367.31 Anisometropia
   367.32 Aniseikonia
   367.4 Presbyopia
   367.51 Paresis of accommodation
   367.52 Total or complete internal ophthalmoplegia
   367.53 Spasm of accommodation
   367.81 Transient refractive change
   367.89 Other disorders of refraction and accommodation
   368.00 Unspecified amblyopia
   368.01 Strabismic amblyopia
   368.02 Deprivation amblyopia
   368.03 Refractive amblyopia
   368.10 Unspecified subjective visual disturbance
   368.15 Other visual distortions and entoptic phenomena
   368.16 Psychophysical visual disturbances
   368.2 Diplopia
   368.30 Unspecified binocular vision disorder
   368.31 Suppression of binocular vision
   368.32 Simultaneous visual perception without fusion
   368.33 Fusion with defective stereopsis
   368.34 Abnormal retinal correspondence
   368.40 Unspecified visual field defect
   368.41 Scotoma involving central area in visual field
   368.42 Scotoma of blind spot area in visual field
   368.43 Sector or arcuate defects in visual field
   368.44 Other localized visual field defect
   368.45 Generalized contraction or constriction in visual field
   368.46 Homonymous bilateral field defects in visual field
   368.47 Heteronymous bilateral field defects in visual field
   368.8 Other specified visual disturbances

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