BCBS_VA - Diagnostic code rejected

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Julio Reyes Flores

• January 05, 2021 02:09

BCBS VA rejected my claim due to problems with the diagnostic code. It seems that my client cannot get coverage under Z63.0 (Problems in relationship with spouse or partner). She was experiencing severe anxiety due to a possible separation with her partner. Do you have suggestions about what code BCBS would accept? I am thinking to change it to one of the types of adjustment disorders but I will appreciate any comment or suggestion. Thank you.

Julio

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  Ruth

  • January 06, 2021 08:00
  • Edited

  Hi Julio, I'd recommend reaching out to the insurance payer directly to find out why the claim was denied and how to resubmit it. Since the payment for a particular service, or diagnosis depends on the specific insurance plan and insurance payer's rules, you'll want to check with them to find out how you can bill them correctly. You can reach out to our Insurance Team to find out more about why your claim wasn't accepted for payment, but we can't offer any information which diagnosis codes to use. Technically, all ICD-10 Codes we've added to our system are billable to insurance payers, but your client's specific plan may not cover it. To reach out to our Insurance Team submit an email Help Request.

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