tci Medicare Compliance & Reimbursement - 2022 Issue Q2

Reader Questions: Know the Facts on Date of Injury Requirements

Question: Our claim scrubber is kicking out claims for removing foreign bodies from ears and for fractures, stating that a date of injury is required in order to bill these. I have not found anything in the ICD-10-CM manual or on our local Medicare website that states this is required; it is only requested as additional information if we were able to capture it. How should we handle this? AAPC Forum Participant Answer: There is no guideline that a date of injury is mandatory, but you need to include it when your scrubber tool requires the information (unless you...

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