Diagnosis code vs procedure code

    • [DOCX File]Explanation of Rejection Codes - Veterans Affairs

      https://info.5y1.org/diagnosis-code-vs-procedure-code_1_7e5e71.html

      Inconsistent Procedure Code and Diagnosis Code Inclusive Rule - claim line score and reason indicate the diagnosis is inconsistent with the procedure code. The service is not covered for the submitted diagnosis code.

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    • [DOC File]Mass.Gov

      https://info.5y1.org/diagnosis-code-vs-procedure-code_1_8a4c0a.html

      Nov 06, 2017 · 4036 prov contract pos restriction on procedure. 4037 procedure code vs. diagnosis restriction. 4038 service not covered for limited benefit plan. 4039 diagnosis cannot be used as principal diagnosis. 4040 primary diagnosis code not on file. 4041 secondary diagnosis code not on file. 4042 third diagnosis code not on file or inactive

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    • [DOC File]Mass.Gov

      https://info.5y1.org/diagnosis-code-vs-procedure-code_1_e8d1fc.html

      Nov 06, 2017 · Contact MassHealth Customer Service at 800-841-2900 if code is billable under the provider contract 4037 Procedure Code vs Diagnosis Restriction This EOB Code displayed because the procedure is restricted to specific diagnosis codes based on the rendering provider.

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    • [DOC File]8 Claims, Billing and Provider Reimbursement

      https://info.5y1.org/diagnosis-code-vs-procedure-code_1_68ad85.html

      Diagnosis code. Procedure code. Individual charge for each service. Provider signature * More specific requirements are set forth below. An “unclean claim” is defined as an incomplete claim, a claim that is missing any of the above information, or a claim that has been suspended in order to get more information from the provider.

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    • [DOC File]Diagnosis in the Assessment Process

      https://info.5y1.org/diagnosis-code-vs-procedure-code_1_e6e429.html

      Thus the DSM-5 gives both the ICD-9 and ICD-10 codes, and when making a diagnosis, one may want to list the ICD-9 code first and place the ICD-10 code in parenthesis. Clearly, it is important to know which version of the ICD is being used when making your diagnosis. Single-Axis vs. Multiaxial Diagnosis

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    • Answer Key - Introduction to Clinical Coding

      Note that the description for code 77055 is for a unilateral (one side) mammogram. 77056 is the correct code for a bilateral mammogram. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral.

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    • [DOC File]New Cardiac MRI CPT Codes

      https://info.5y1.org/diagnosis-code-vs-procedure-code_1_8e6613.html

      Each of the above codes was designed to be a stand-alone code and, as such, no add-on codes will exist. The new codes also cannot be billed together. Additionally, image post processing is included in each of the new codes so one can no longer bill any of the new codes with CPT code 76376 or 76377. ... Describe procedure to patient and obtain ...

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    • [DOC File]Section III All Provider Manuals

      https://info.5y1.org/diagnosis-code-vs-procedure-code_1_f300a5.html

      351.000 ICD Diagnosis and Procedure Code Reference. 352.000 HCPCS and CPT Procedure Code References. 353.000 CMS-1450 (UB-04) Data Specifications Manual. 300.000 GENERAL INFORMATION 301.000 Introduction 11-1-17 The purpose of Section III of the Arkansas Medicaid Manual is to explain the general procedures for billing in the Arkansas Medicaid ...

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