What is the correct way to bill caries as a medical condition? My Boss asked me that question just to make sure that i will not sleep at night :)He also mentioned: “For example when it leads to medical problems like malnutrition, speech, swallowing, digestion, problems like obesity or dystrophy.Please help, need ASP!
You will need to append the correct ICD-9-CM codes to the claim to prove "medical necessity" and therefore bill out as a medical condition...your diagnosis codes tell the story. It tells "why" a procedure needs to be preformed and it proves "medical necessity".
For example: patient has gross carries and is unable to eat causing moderate malnutrition. The correct ICD-9-CM codes would be 521.09(gross carries) and, 263.0 (moderate malnutrition).