ICD-10 Medicare Coding for Annual Well Woman/High Risk

With ICD-9 a high risk annual well woman exam would be covered yearly if the diagnosis code V15.89 (Other specified personal history presenting hazards to health, other) was on the claim and the patient met the high risk requirements.

I have several Medicare patients who qualify as high risk and do get their annuals on a yearly basis. Now that ICD-10 is in effect, there is no documentation on Medicare's (Palmetto GBA J11) website giving the new equivalent code for high risk.

I recently billed a claim with Z77.9 (Other contact with and [suspected] exposures hazardous to health) in hopes that it would get paid and be recognized as the high risk code. However, the claim has denied. I am now at a dead end in this situation and have held several claims until I can find the correct code Medicare considers as high risk.

Any help or input would be greatly appreciated!

Loren

This entry passed through the Full-Text RSS service - if this is your content and you're reading it on someone else's site, please read the FAQ at http://ift.tt/jcXqJW.

ICD-10 Medicare Coding for Annual Well Woman/High Risk