tci Part B Insider - 2013 Issue 24

Reader Question: Shuffle Diagnosis Order When Necessary

Question: Our physician documented obesity as a contributing factor in a patient’s diabetes care, and it got billed as the primary diagnosis (the obesity isn’t her primary diagnosis, but it’s the first one listed in her chart). The visit was denied. How can I resubmit the claim to show the visit really was because of her diabetes without it looking like I’m changing the diagnosis to get paid? Answer: Resubmit the claim with the diabetes diagnosis listed first (250.xx, Diabetes mellitus), followed by the appropriate obesity code. Include a copy of the dictation to...

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