Anh Posted Thu 25th of April, 2013 15:47:41 PM
pt's insurance denied lab work due to non-covered Dx. for annual checkup. billed with dx code V70.0. Is there any other DX i can bill with, please help.
SuperCoder Answered Tue 30th of April, 2013 14:00:51 PM
Medicare providers also must report a diagnostic code on the claim. Although there are no specific ICD-9-CM diagnosis codes required for the AWV, there are certain diagnosis codes providers shouldn’t report—as some providers discovered the hard way.
Let us find out for these alternate Dx if available. We will be back soon.
SuperCoder Answered Thu 02nd of May, 2013 14:04:38 PM
The physician may use V70.0 (Routine general medical examination at a health care facility) as the ordering diagnosis for the annual checkup. But there’s a separate ordering diagnosis for the lab work: V72.62 (Laboratory examination ordered as part of a routine general medical examination).