tci Outpatient Facility Coding Alert - 2015 Issue 3

Reader Question: Code the Correct Corresponding Diagnosis Code to Avoid Denials

Question:  We had a insurance denial for procedure code 20610 with diagnosis code 722.10. What would be the best diagnosis code to use for pain of the paraspinal muscles of the lower hip? Washington Subscriber Answer: The insurance denial was because these codes were mismatched on your claim. Diagnosis 722.10 (Displacement of lumbar intervertebral disc without myelopathy) does not support the procedure of 20610 (Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance).  It is difficult to recommend a better way to report the service without details...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.