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Hi Everybody!

 

I have the forms and the instructions about the acupuncture codes. What

about the diagnosis codes? Say Liver and stomach disharmony with

counterflow of stomach qi? What diagnosis code is that?

 

Another one is Liver, spleen and kidney deficiency complicated by

retention of damp heat and blood stasis. I don't get simple cases.

 

Regards,

 

Pete

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You would need to make this depending upon symtoms such as abdominal pain,

etc. In some states, we cannot diagnose and so would need to rely upon

another provider for this info. The codes are called ICD-9 codes and it

stands for International Classification of Disease - 9th edition. Hope this

helps.

 

Mike W. Bowser, L Ac

 

 

 

 

 

>petetheisen <petetheisen

>Chinese Medicine

>Chinese Medicine

> Diagnosis codes

>Thu, 02 Mar 2006 05:40:52 -0500

>

>Hi Everybody!

>

>I have the forms and the instructions about the acupuncture codes. What

>about the diagnosis codes? Say Liver and stomach disharmony with

>counterflow of stomach qi? What diagnosis code is that?

>

>Another one is Liver, spleen and kidney deficiency complicated by

>retention of damp heat and blood stasis. I don't get simple cases.

>

>Regards,

>

>Pete

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mike Bowser wrote:

> You would need to make this depending upon symtoms such as abdominal

> pain, etc. In some states, we cannot diagnose and so would need to

> rely upon another provider for this info. The codes are called ICD-9

> codes and it stands for International Classification of Disease -

> 9th edition. Hope this helps.

 

Hi Mike!

 

I have Unicor Medical " Easy Coder " book 1999 ICD-9 CM. So I use the

three digit diagnosis codes from the book and then the 97810 code for

acupuncture and the 99811 for electro acupuncture? Each additional 15

minutes I use an additional 97813 or 97814?

 

The lady comes in and says she has a migraine so I use 346.90 (0 because

it is not intractable)? I am in Florida, by law we are primary care

providers, patients may self-refer to us. Now if she had been to a

Western Doc and I had his notes I would use the diagnosis code he used?

 

Do I have to send in my case notes as well as the insurance form? That

would be a bother!

 

It may be staring me in the face, but I don't see any codes for

Evaluation and Management. Are there any? The PDF mentions E & M codes but

doesn't give them.

 

http://www.aaom.info/cptcodes.pdf

 

Regards,

 

Pete

>> I have the forms and the instructions about the acupuncture codes.

>> What about the diagnosis codes? Say Liver and stomach disharmony

>> with counterflow of stomach qi? What diagnosis code is that?

>>

>> Another one is Liver, spleen and kidney deficiency complicated by

>> retention of damp heat and blood stasis. I don't get simple cases.

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Pete,

 

I can comment on some of these but recommend you attend a seminar on the

topic as well. First, congrats on choosing a state that has a more

proressive law regarding the practice of acupuncture and saw the benefits of

making it primarycare. I would check out a more recent version of the AMA

CPT manual as many codes have changed and also pick up a copy or check out

from library on current ICD-9 codes. Many times the insr will deny a claim

w/o explanation and it could be for using wrong codes. They expect you know

what the current ones are (many of us do not). You appear to be correct in

coding (typo on your acu w/stim) for acupuncture and each extended amount of

time. There seems to be more interest in our patient medical records for

reimbursement and so to shorten payment delays, I would suggest you copy and

send this in with the claim, unless you file electronically. Then use snail

mail. You might try to google for E and M codes. Keep in mind that the way

you structure your practice can determine if this is a viable item to charge

for or not. Do you have a fee schedule? Please seek out a seminar, it will

be worth your time, effort and money to do so. Email me offlist if you want

to discuss these. Hope this helps.

 

 

Mike W. Bowser, L Ac

 

 

 

 

>petetheisen <petetheisen

>Chinese Medicine

>Chinese Medicine

>Re: Diagnosis codes

>Wed, 08 Mar 2006 05:41:51 -0500

>

>mike Bowser wrote:

> > You would need to make this depending upon symtoms such as abdominal

> > pain, etc. In some states, we cannot diagnose and so would need to

> > rely upon another provider for this info. The codes are called ICD-9

> > codes and it stands for International Classification of Disease -

> > 9th edition. Hope this helps.

>

>Hi Mike!

>

>I have Unicor Medical " Easy Coder " book 1999 ICD-9 CM. So I use the

>three digit diagnosis codes from the book and then the 97810 code for

>acupuncture and the 99811 for electro acupuncture? Each additional 15

>minutes I use an additional 97813 or 97814?

>

>The lady comes in and says she has a migraine so I use 346.90 (0 because

>it is not intractable)? I am in Florida, by law we are primary care

>providers, patients may self-refer to us. Now if she had been to a

>Western Doc and I had his notes I would use the diagnosis code he used?

>

>Do I have to send in my case notes as well as the insurance form? That

>would be a bother!

>

>It may be staring me in the face, but I don't see any codes for

>Evaluation and Management. Are there any? The PDF mentions E & M codes but

>doesn't give them.

>

>http://www.aaom.info/cptcodes.pdf

>

>Regards,

>

>Pete

> >> I have the forms and the instructions about the acupuncture codes.

> >> What about the diagnosis codes? Say Liver and stomach disharmony

> >> with counterflow of stomach qi? What diagnosis code is that?

> >>

> >> Another one is Liver, spleen and kidney deficiency complicated by

> >> retention of damp heat and blood stasis. I don't get simple cases.

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