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NJPTAid Listserve Post: Medicare Claims Completion for Multiple Diagnoses
Posted on Wednesday, January 25 @ 10:33:15 EST by Ken Mailly |
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Question:
I recently read the e-mail you sent regarding Empire Medicare sent 12-16-05. I am concerned to read this. Although my clinic does not bill Empire Medicare, we are a Medicare provider in Missouri. We are submitting some claims for multiple units of the same service (e.g. therapeutic exercises, CPT 97110) by entering the same CPT code on multiple claim lines......with DIFFERENT DIAGNOSIS CODES per line.
We do this to comply with Medicare regulations. Please refer to Medicare Provider News November 2003 - Optical Character Recognition Scanning article. On page 5 it reads for box 24E "Diagnosis Code - Required - Enter a single diagnosis reference number (i.e. 1,2,3,or 4) as shown in item 21. Reference to multiple diagnosis will delay processing. DO NOT use the actual diagnosis code."
Frequently we have patients whom we are seeing for more than one diagnosis - for example Back Pain and Shoulder Pain. We may do 15 min of exercise for their shoulder and 15 min for their back hence our billing is 97110 DX1 and 97110 DX2 - - - - -as per Medicare Provider News.
Do you think we have misinterpreted the information in Provider News?
Response:
This question was recently asked and responded to on our subscription-based NJPTAid Listserve. You can find information about this service on our website under "Limited Consulting Services", and can subscribe on the site via PayPal as well.
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| ·Article Rating· | Average Score: 1
Votes: 2
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