mardi 22 décembre 2015

Cigna denying F1220 as admitting dx code

I work at an inpatient facility for substance abuse and my claims for residential level of care are making it through my clearinghouse, but being blocked by the payer CIGNA stating that the "admitting diagnosis code: invalid for payer."

The code DSM 5 Description for F1220 is for Cannabis use disorder, severe ...... but ICD-10 has it as Cannabis dependence, uncomplicated

Does anyone have any advice, as we have started seeing this issue since ICD-10 implementation with the admitting dx.

If anyone can help that would be great. My email is tmonroeca@gmail.com

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Cigna denying F1220 as admitting dx code