tci Part B Insider - 2011 Issue 12

Reader Questions: Secondary Dx May Be Required With 702.11, 702.19

Question: Our physician excised a 0.4 cm lesion and documented, "She has a bleeding black lesion on the right chest wall." The payer denied our claim with diagnosis 709.9 because we needed a secondary diagnosis. The pathology report documented the lesion was a benign seborrheic keratosis. We added 702.19 to the claim but received another denial for medical necessity because the LCD guidelines state both those diagnosis codes are considered primary. What should we do now?Answer: Choose between 702.11 (Inflamed seborrheic keratosis) or 702.19 (Other seborrheic keratosis) for the primary diagnosis, depending...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 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.