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Can 471.9 be used to support aspirin desensitization 95180?

SuperCoder Posted Tue 10th of January, 2012 21:23:38 PM

Per BCBS NC, pt was told he has no benefits for 95180 under his personal policy, but then was told they would allow it if a diagnosis code of 471.9 was used. I have been unable to confirm that this can be used. -Bonnie

SuperCoder Answered Wed 11th of January, 2012 08:09:57 AM

Reimbursement guidelines often override other coding guidelines. If you have BCBS insurance, and if BCBS has this criteria, then you are left with the option to code Dx 471.9 if the document justifies using 471.9, otherwise you will not be covered by BCBS.

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