Nonspecific ICD-9-CM Codes Not Billable

Effective for dates of service on or after July 1, 2007, the following nonspecific ICD-9-CM diagnosis codes are not billable with a laboratory procedure code: V70, V70.0, V70.5 Ð V70.9, V72, V72.1 and V72.9. This does not change the policy that any laboratory procedure must be billed with a diagnosis code, nor does it change the policy requiring specific diagnosis codes for certain laboratory procedures. Providers billing a laboratory procedure code with any of the above diagnosis codes will have their claims denied for nonspecific diagnosis.

Published by XIFIN
INDUSTRY NEWS TAGS: California Medi-Cal

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