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Hi,

Can anyone please share the correct diagnostic code for Pain? I have

been using 780.99, but just had Aetna insurance deny a patient's claim

because they said the code was incorrect. While they agreed they would

cover the treatment if it was for pain, and they understood I was

treating the patient for pain, they would not tell me what code I

should use for pain. FUN!If anyone can share, or point me in the right

direction I would appreciate it.

Thank you!

Jessica Fritz L.Ac.

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Jessica,

 

The current code for " Generalized Pain " is 780.96. There are, of

course, more precise codes that identify pain based upon its region,

nature, and etiology.

 

--Bill.

 

--

Bill Mosca, LAc

Executive Director

California State Oriental Medical Association (CSOMA)

703 Market Street, Suite 250

San Francisco • CA • 94103-2100

[Toll Free Voice]: (800) 477-4564 • [Fax]: (415) 357-1940

: bill • [Website]: csomaonline.org

On Apr 18, 2008, at 12:55 PM, pitgyrl wrote:

> Hi,

> Can anyone please share the correct diagnostic code for Pain? I have

> been using 780.99, but just had Aetna insurance deny a patient's claim

> because they said the code was incorrect. While they agreed they would

> cover the treatment if it was for pain, and they understood I was

> treating the patient for pain, they would not tell me what code I

> should use for pain. FUN!If anyone can share, or point me in the right

> direction I would appreciate it.

> Thank you!

> Jessica Fritz L.Ac.

>

>

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