I wanted to post some medical codes used in my treatment to get insurance coverage in past. I found them and wanted them here in case it helps someone when a doctor doesn't use enough codes or the right ones. I learned the more codes the better. I know there are plenty more that can be used but I notice he uses these in Igenix lab slips too. Helped get my PICC lines covered too. I can't find other ones he has used. I'll keep adding. Comment with successful codes that helped you with coverage please. See my list below.
HOW TO NAVIGATE THROUGH INSURANCE DENIALS AND GET YOUR DOCTOR'S ORDERS APPROVED
"Successfully advocated for a unique ICD-10 code for POTS in the US for the first time! US clinicians can begin using the new POTS code, G90.A, as of October 1, 2022" https://dysautonomiainternational.org/blog/wordpress/
"DALLAS, Feb. 23, 2022 /PRNewswire/ -- Twenty five years have passed since the World Health Organization (WHO) updated the International Classification of Diseases (ICD) codes for Lyme disease. The ICD-11 codes, including those for Lyme disease, took effect January 1, 2022. "
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People can get 180 days of abx and have insurance companies cover it.
US clinicians can begin using the new POTS code, G90.A, as of October 1, 2022"
ICD-10s
G90.A
US clinicians can begin using the new POTS code, G90.A, as of October 1, 2022
R53.83
"Other Fatigue " is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs. R53.83 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes
R06.02
Shortness of breath is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .R06.02 is billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
M25.50
Pain in Unspecified Joint. M25. 50 is a billable ICD-10 code used for healthcare diagnosis reimbursement.
M54.2
Cervicalgia (Neck Pain) is a billable ICD code used to specify a diagnosis of cervicalgia. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
R51.9
Headache,unspecified is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes
R51(he also used this mostly but I found the billable one above)
Headache. It is the most common form of pain.
B60.0
Babiosisos, unspecified
A69.20
Lyme disease, unspecified. Is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
A77.0
Spotted fever due to Rickettsia rickettsii . billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Disclaimer: Rise Above Lyme makes no claims about any possible benefit of using any product mentioned within this site. Always consult with your doctor before adding anything. The information shared is based on personal experience, years of accumulated researched resources from Lyme Literate doctors and polls conducted within Lyme groups from actual patient experience using these solution ideas.
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