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Outpatient Facility Coding Alert

Reader Question:
Avoid Denials, Check Code’s LCDs, ICD-10-CM Crosswalk

Question: We received a denial for code 92511 for due to an incorrect diagnosis code. The diagnosis codes we reported are H69.91, J30.89, and Q67.4. The patient’s chart also documents nasal congestion. Should I resubmit the claim with a nasal congestion diagnosis or appeal with the current diagnoses? Indiana Subscriber Answer: You can check a CPT® code and ICD-10-CM code’s [...]