Becker's Healthcare February 3, 2023
What’s the difference between M51.09 and M51.04? It’s just one number, right? Well, for these two ICD-10 codes, that one number means the difference between a specified and unspecified code. It also likely means the difference between getting a first-pass denial on your claim from a payer and getting reimbursed.
That’s just one example of the seemingly countless coding nuances that your orthopedic practice has to be mindful of every day. These small nuances can have a big impact on the health of patients, physicians and entire practices.
Incorrect or underspecified documentation can result in surgery denials, unnecessary tests and mistaken procedures. It can also impact your bottom line as a result of inaccurate E/M levels and reimbursement, claim denials,...
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