Sonja Posted Wed 10th of July, 2019 11:23:45 AM
We had a Dx denial issue with a claim for 2019 but the insurance carrier isn't specifying where the problem is. Our claim has codes I82.411, I82.412, R53.2, and G30.1. I was thinking it could be because we used both the left and right side Dx codes I82.411 and I82.412 instead of using the bialteral Dx code I82.413. In situations where it is both left and right, should we be using the bilateral code instead? The procedure was for a nursing home visit and nothing else was performed.
SuperCoder Answered Thu 11th of July, 2019 09:00:37 AM
Hi Thanks for your question nbsp As per ICD- CM guidelines some codes indicate laterality specifying whether the condition occurs on the left right or is bilateral nbsp If no bilateral code is provided and the condition is bilateral assign separate codes for both the left and right side nbsp...