996.79  Other complications due to other internal prosthetic device, implant, and graft

ICD-9-CM Vol. 1 Diagnostic Codes

996.79 - Other complications due to other internal prosthetic device, implant, and graft

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Additional Code Information includes: APC Status Indicator Assistant Surgeon (80, 82) Bilateral Surgery (50) CCS Clinical Classification Co-Surgeons (62) Diagnostic Imaging Family Facility MUEs Global Days Hierarchical Condition Categories (HCC) Major Complications or Comorbidities (MCC/CC)   Medicare Status Code Multiple Procedures (51) Non-Facility MUEs OTS Orthotic PC/TC Indicator (26) Physician Supervisions Team Surgery (66) Type Of Service (TOS) and more... Access to this feature is available in the following products: HCC Plus Find-A-Code Professional Find-A-Code Facility Base sign INsign UP

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Nonspecific Code

This is an nonspecific code.  Your claim COULD be suspended (held up) by insurance companies or third-party payors for further documentation before payment is made.  Also, payment COULD be denied because payors may not be able to determine 'medical necessity' because the code is too generic.  Use EXTREME caution when using this code.  A specific code is a better choice!  If there is no better choice, however, it is always best to review documentation or even consult the physician BEFORE using this code to make sure that you have been as specific as you possibly can.

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