tci Part B Insider - 2003 Issue 5

DIAGNOSIS CODING: Suppliers Fidget Over Added Digits

Durable medical equipment suppliers are preparing to play "guess the diagnosis code" with all your capped rental patients. Come April 1, the durable medical equipment regional carriers will require five-digit ICD-9 codes, where applicable, on all claims. Where an ICD-9 diagnosis requires a fourth or fifth digit, the DME regional carriers will reject claims with three-digit codes, according to Dr. Robert Hoover, medical director of Region D DMERC Cigna. Thus, suppliers will have to use four digits for thyroiditis, which always starts with 245 but has a fourth digit required to specify a more definite diagnosis. But suppliers will...

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