My Dr needs diagnosis code for Doppler for insurance to cover. Anyone? MRV will follow if (I pray) Doppler shows reason to go further. Code for MRV?
I know ccsvi isn't in the coverted fda holy grail yet but what diagnosis will justify those tests? I didn't think to tell nurse on phone "Multiple Sclerosis"

Ed

Your doctor should talk to who ever does his billing. They will know exactly what codes (CPT and ICD-9) to assign so that the procedure(s) is covered. Additionally, somewhere within your chart he should document the reasoning for the procedure(s) that would match up to the CPT/ICD-9 codes. If they don't the insurance company will kick it back. A good experience coder (btw- must be certified) will be able to assist the dr. with this.

I could randomly come up with codes but they all have to match up. I could say an ICD-9 of 436 which is for CVA would cover a carotid duplex (CPT 93880) but again, I don't know if it would match up with what your dr has written in your chart and what is going on with you. These 2 are common and I do see them quite frequently.

I hope that makes sense. Again, I am not a coder, just reviewed their work in conjunction with reviewing medical records for quality assurance and making sure nurses, drs., etc. were giving quality care to the patients when I was working in the hospital. Now that I can't work a traditional job, I only use the codes when transcribing.

Again, have your dr. talking to who ever does the billing. They should know how to proceed so that your tests and such are covered. Good luck and let us know how it works out.