AMA CPT® Assistant - 1996 Issue 9 (September)

Medicare Issues (Q&A) (September 1996)

September 1996 page 10 Coding Consultation Medicare Issues (Q&A) Question Lately I've been receiving rejection of several claims from Medicare due to my ICD-9 codes. Is there a new policy? What am I doing wrong? AMA Comment As of July 1, 1996, the Healthcare Finance Administration (HCFA) tightened up their reporting requirements of ICD-9 codes. According to HCFA, you must code to the "highest level of specificity." Therefore, you must add a fourth or fifth digit when it is required. Most ICD-9 books have some type of indicator that will let you know if a fourth or...

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