Forum - Questions & Answers

Oct 14th, 2014 - TerryC 39 

derm referral help please

One of our HMO, patients wants a referral to a dermatologist for skin check. Mostly for her face. Her aesthetician said she should see a dermatologist. Her primary care doctor sees nothing wrong with the patient's skin. However the patient insists on a referral. Any idea what dx code we could use for her visit and the referral. I found V72.7 skin exam. Thank you

Oct 15th, 2014 - CodapediaMsgBoard 96 

re: derm referral help please

It ultimately depends on the payer policy really. Would the payer pay for a dermatology exam off of an HMO referral for no medically necessary reason?

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