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Medicare Code Denials

I have had several Medicare claims come back for primary code reasons. They say MA25-the coded diagnosis does not justify the medical treatment. For most patients in chiro,if they are coded as 739.3...

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Re: Medicare Code Denials

Is the doctor billing 98940 or 98941?Colleen

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Re: Medicare Code Denials

The 739.3 code should be fine. Are you pointing to bothDX codes or just the first one? There was a change (at least in our region) some time ago that required us to list the secondary code but they...

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Re: Medicare Code Denials

Joyce, The claims are going out electronically and I notice that the clearinghouse has edited out the second (722.52) for box 21. I don't know if this is part of the problem or not. Since I haven't...

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Re: Medicare Code Denials

DUH!!! No wonder the clearinghouse wasn't sending the 722.52. My software wasn't sending it. My error. Mea Culpa!I'll always remember to look at my programming first.Sandi

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Re: Medicare Code Denials

How nice if all denials were so easily remedied.

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