Cathy Posted Tue 24th of May, 2016 18:09:21 PM
We have a lab in our office and are being denied for payment. We had been using trimester codes like Z34.01 OR Z34.81 for the icd 10
The lab test codes are like 233452, 7914816, 004259, 998807. Can you test me what icd10 codes we are suppose to be using. Should we be used week instead. I would help appreciate any help to point me in the right direction. They are denying both private insurance and medicid and tricare
SuperCoder Answered Wed 25th of May, 2016 04:16:21 AM
Thanks for your question. Please provide us CPT codes along with their corresponding ICD-10 codes, which you bill, and also please let us know the reason for denial so that we can provide you with the proper solution and avoid future denials.
Cathy Posted Wed 25th of May, 2016 16:35:05 PM
These are a few of CPT lab test codes used 86850, 86900, 86592, 87340, 86762, 86901, 87389, 85025, 84443, 80302, 80304, 80301, 81001 using icd10 Z32.01 and Z34.82 This is a new pregnant patient. Routine labwork drawn at one time that we would be doing on every pregnant. In the past we had no problems of getting paid, but now we are.
SuperCoder Answered Thu 26th of May, 2016 04:31:46 AM
Greetings! Please note that path/lab coding and billing is somewhat tricky. So we request you to please provide us a particular incidence of denial with reason so that we may provide you the exact solution.
Cathy Posted Thu 26th of May, 2016 15:25:52 PM
They are denying for wrong ICD10 code. Is there a website or reference area where I can find the answer
SuperCoder Answered Fri 27th of May, 2016 05:37:33 AM
Hi, we apologize for the delay. There is lack of medical necessity. These CPT codes cannot be paid with these two Dx codes (Z32.01 and Z34.82). You need to map appropriate diagnoses codes with the particular CPT codes to support medical necessity.
Example: You may map 80301, 80302, and 80304 with ICD-10 code Z02.83 (Encounter for blood-alcohol and blood-drug test) or other ICD-10 codes for the already known condition of the patient to avoid any risk in the pregnancy. Before billing, please make sure that medical record should have such documentation. Moreover, if physician has ordered an “Obstetric panel”, the CPT codes which are already there in the panel cannot be billed individually.
Please feel free to write to us in case you have any concern or query.