Bernadette Posted Fri 30th of January, 2015 10:57:51 AM
A patient comes in complaining about throat pain. The doctor examines and asks the nurse to run a strep test. The nurse performs the strep test and to document the order in the EHR she uses ICD-9 code
784.1. The test comes back negative. The doctor diagnoses the patient with ICD-9 code
462 - sore throat(NOS) viral. Would we bill the strep test with the
462 ICD-9 code? Please advise.
SuperCoder Answered Mon 02nd of February, 2015 08:12:10 AM
Thanks for your question.
Strep test should be coded with 462 Acute pharyngitis as 784.1 is a symptom and procedure should be billed with more specific and definitive available diagnosis.
Hope it helps resolve your query.