Invalid Diagnosis Code Rejection
Help! I can't get SP to submit a Z code to Cigna. It's coming back rejected by SP. What can I do?
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You could be entering a code that is not specific enough for billing. For example, if I bill F31.3 Bipolar disorder, current episode depressed, mild or moderate severity, it will be rejected. I would have to enter a more specific subcategory of F31.3 such as F31.32, Bipolar disorder, current episode depressed, moderate.
You can find the codes here: https://www.icd10data.com/ICD10CM/Codes
Those in green are billable, those in red are not.
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