Many providers struggled with the combination diagnosis codes available in ICD-10 and continued to bill conditions separately in error. Inappropriate Use of ICD-10 Diagnosis Codes
#ICD10 J45 909 CODE#
For example, a physician’s office used diagnosis code R50 – Fever, when only diagnosis codes R50.2, R50.81-R50.84, and R50.9 are valid for that use.They are not as common with submissions from hospitals. These types of errors are primarily received from physicians’ offices.
Truncated and incomplete diagnosis codes. A "K" was used in place of a "J" in error.ģ. Transposed digits and typographical errors.įor example, a hospital used diagnosis code K45.909 when they should have used diagnosis code J45.909 for unspecified asthma, uncomplicated. The letter "I" was used in place of the number "1," the letter "O" was used twice rather than the number "0," and the number "2" was used in place of the letter "Z."Ģ. A hospital trying to send a procedure code for a C-section – Extraction of products of conception, low cervical, open approach conception, low cervical, open approach- sent a procedure code of I0DOO21 when they were trying to send 10D00Z1.A pediatrician used diagnosis code 301.80XA – Unspecified open wound of other part of head, initial encounter, and should have used diagnosis code S01.80XA.This confusion happened most frequently with the following commonly used numbers and letters in ICD-10: We saw several examples where numbers were used in place of letters or vice versa. Providers who use billing services or practice management systems that have claims scrubbers may avoid these problems however, they should serve as test conditions for any provider.ġ. Invalid diagnosis codes were common for three reasons, all of which would cause a claim to get rejected. Submitting claims with the following errors after October 1, 2014, may delay or negatively impact reimbursement. Although we are planning a larger scale testing phase in second quarter 2014, we wanted to share some of the common issues identified in our initial testing. Code Correctly – Avoid the ICD-10 coding pitfalls!īlue Cross and Blue Shield of New Mexico (BCBSNM) conducted preliminary ICD-10 testing with a subset of providers in 20.
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