Forum - Questions & Answers

May 17th, 2011 - mbutler

ICD-9 and CPT® coordinating codes

Is there a website to check on CPT® codes that coordinate with ICD-9 DX's. Medicare has taken money back from a claim that was paid in Feb. 2010. We billed Speech Therapy 92507GN with a DX of 78720 (Difficulty in swallowing unspecified).
We have used these codes many times from our Therapy department without denial. Medicare is telling me the DX doesn't go with the CPT® code. Where can we verify this information online? Any help will be appreciated.

0 Votes - Sign in to vote or reply.
May 17th, 2011 - tls131 19 

re: ICD-9 AND CPT® COORDINATING CODES

You have to review the LCD for your FI/MAC but under NGS, 787.20 is not listed as a medically necessary code.

0 Votes - Sign in to vote or reply.
May 17th, 2011 - jschmutz   323 

re: ICD-9 AND CPT® COORDINATING CODES

92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual. 


 


92507 would not be used to treat swallowing problems. This code is used for treatment of speech, language, voice communication or auditory processing disorders. The treatment for this usually includes the patient undergoing developmental programs such as speech therapy, sign language, lip reading or hearing rehab.


 


If the treatment is for swallowing problems and is aimed at finding the cause of the dysfunction so that the swallowing problem can be treated, then the correct code would be 92526 for treatment of swallowing dysfunction and/or oral function for feeding


 


.

92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual.



92507 would not be used to treat swallowing problems. This code is used for treatment of speech, language, voice communication or auditory processing disorders. The treatment for this usually includes the patient undergoing developmental programs such as speech therapy, sign language, lip reading or hearing rehab.



If the treatment is for swallowing problems and is aimed at finding the cause of the dysfunction so that the swallowing problem can be treated, then the correct code would be 92526 for treatment of swallowing dysfunction and/or oral function for feeding

0 Votes - Sign in to vote or reply.


About Codapedia by InnoviHealth Systems Contact Us Terms of Use Privacy Policy Advertise with Us

Codapedia™ by InnoviHealth Systems™ - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain) - Fax (801) 770-4428

Copyright © 2009-2019 Find A Code, LLC - CPT® copyright American Medical Association