Tammy Posted Tue 26th of January, 2016 17:16:45 PM
We have billed 87480,87510,87760 and used ICD10 N77.1. Insurance is denying the 87480 for the N77.1 are we using the correct CPT codes and is there a different dx we should be using
SuperCoder Answered Wed 27th of January, 2016 02:54:26 AM
Icd N77.1 is not payable with Cpt code 87480. kindly provide the documentation on the basis of which N77.1 and 87480 has been coded.
Tammy Posted Wed 27th of January, 2016 10:37:51 AM
Patient had vaginal discharge and under assessment:dx vaginitis,vulvitis and vulvovaginitis. Plan: provider has ordered AFFIRM for vaginitis, vulvitis, vulvovaginitis
SuperCoder Answered Thu 28th of January, 2016 09:01:48 AM
Kindly confirm if Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique was performed for the billed diagnosis. As per assessment Icd code N77.1 is correct for diagnosis vaginitis, vuluvitis and vulvovaginitis.
Hence we need to confirm the CPT code.