tci Part B Insider - 2009 Issue 11

PART B REVENUE BOOSTER: Brush Up on Your ICD-9 Know-How With 3 Tips

Confused about fifth digits or V codes? Look no further. Insurers base your reimbursement on whether your claims show medical necessity -- and you cant demonstrate that without accurate diagnosis codes. Refresh your ICD-9 coding skills with three tips that make ICD-9 coding a breeze. Tip 1: Forget that fifth digit and forget reimbursement. If you omit a required fifth digit when submitting ICD-9 codes, such as those for arthritis (715.00-716.99), you can anticipate claim denials, delays, and potential payer rejections. The purpose of the fifth digit is to allow the physician to provide greater detail, and...

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