Hi,
anybody know, when to use O46.91, as first trimester fall before 14 weeks and we have O20.9 before 20 week of gestation. kindly share the scenario when use O46.91.
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Tag Archives: Unspecified
ICD-10 Unspecified Denials
Family Practice having several ICD-10 codes denied as unspecified. Any advise?
Valves: unspecified rheumatic vs non-rheum
When mitral, aortic, tricuspid and pulmonary valves are all documented as having insufficiency, is I08.8 reported or I08.3 with I37.1?
The rationale in favor of the latter is that the I08 section only names mitral, aortic and tricuspid valves with *no mention of pulmonic* whether rheumatic or not, while the I37 section "Excludes 1" note, only excludes *congenital or specified* rheumatic disorders.
uveitis dx, H20.9 (unspecified iriodcyslitis
Hi, does anyone know for sure if medicare will pay H20.9 for an OCT (92134) – I do not see it on the LCD, however the doctor thinks they should pay, any suggestions for a dx?
thank you
Unspecified arthritis hand
Hi
How would you code Unspecified arthritis bilateral hands. I do not see a code for unspecified arthritis only for "other arthritis"or "unspecified osteoarthritis when I look in ICD 10 manual or google it. Doctor did not specify the type of arthritis. Any clarification appreciated.
Thank you.
Deborah
Guidance for selecting Acute vs Chronic Osteomyelitis with site when A/C unspecified
When osteomyelitis is unspecified as to acute or chronic in documentation, certainly best to query re status so location can be coded. But in absence of clarification, is there any guidance to select acute or chronic as default?
Thanks for your thoughts
Unspecified arthroscopic gluteus medius repair
I have a surgeon that wants to perform a LT hip arthroscopic gluteus medius repair. He wants to use procedure code 29999. Is there a more specific procedure code? Any help would be appreciated.
Thank you.
Unspecified Procedure
I have a surgeon that wants to perform a LT hip arthroscopic gluteus medius repair. He wants to use procedure code 29999. Is there a more specific procedure code? Any help would be appreciated.
Thank you.
Unspecified vs ‘Other specified” Codes
I am in a quandary right now. I was taught that you do not code anything that is not documented in the encounter note. (except chronic conditions etc that have been established and are under ongoing treatment). With this being said, the office I worked for was getting a lot of kickback for using the ‘unspecified’ codes (ex: D51.9, E78.00 etc.) and as a result they wanted to use the other specified codes (D51.8 vs D51.9).
My question is – can we do that? Here is an example:
PT comes in for a B12 shot for "Vitamin b12 def, unspecified" (word for word) as noted on the encounter. We were told to bill as "other specified B12 def" as this would pay and the other would not. Usually I would query the physician for a more accurate diagnosis but a lot of the time there WAS no more specific diagnosis, especially in these cases. Also, asking them to go back and change their diagnosis so we could bill and get paid seemed unethical. This isn’t a case of there being a more accurate diagnosis available, but changing the diagnosis on the claim.
I am relatively new, so I am curious as to whether we could do this. I refused to until I got clarification but I haven’t found any specific documentation on it. Can someone help me out or point me in the right direction? Thank you!
Unspecified vs. other
When is it appropriate to use unspecified vs. other? Example, the orthopedic surgeon simply documents distal radius fracture. There is no code for distal radius fracture, other than unspecified. If they don’t document that it’s an intra-articular, extra-articular, etc…. would it be appropriate to choose the "other specified" or should I use unspecified since the physician knew a more specific diagnosis but simply didn’t document it?