Forum - Questions & Answers

Aug 25th, 2011 - dynamic1205

Open for Ideas

I have a coding situation with Medicare. My provider billed a new patient visit 99204 with icd 9 401.1, 272.2 and 728.87. Medicare denied the claim with denial code

"M81:You are required to code to the highest level of specificity.".

This is the first time i have this denial. I checked the icd 9 codes and it back all as valid and billable codes. I don't know why this one is being denied as not coded to the highest level of specificity. Any ideas out there that might help shed the light?


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Aug 25th, 2011 - jschmutz   323 

re: Open for Ideas

You may want to call Medicare.

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