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procedure codes is 83037

SuperCoder Posted Wed 08th of October, 2014 15:28:58 PM

One of my problem procedure codes is 83037, I bill it with the QW for the lab waiver, and 250.00 icd 9. I can’t get it paid. What icd9 code do I need to use for this procedure

SuperCoder Answered Thu 09th of October, 2014 02:42:42 AM

Thanks for your question. 250.00 is a covered diagnosis code for 83037. There may be a frequency issue and not a diagnosis problem. Frequency of testing considered medically necessary for Medicare is every 3 months to monitor a diabetic patient’s metabolic control. Every 1-2 months when treatment regimen is altered to improve control. Every month for diabetic pregnant women. Patients with uncontrolled type I or II diabetes may be tested more frequently, however, the medical record must support such increased testing. What is the specific reason the claim was denied by the payer?

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