tci Outpatient Facility Coding Alert - 2015 Issue 5

You Be the Coder: Know the Diagnosis Codes That Support 31575

Question: Which diagnosis codes support 31575?  Ohio Subscriber  Answer: Medical policies differ regarding diagnoses that support performing 31575 (Laryngoscopy, flexible fiberoptic; diagnostic). But some indications for 31575 may be: Airway obstruction (chronic, 496; NEC, 519.8) Aspiration, chronic (507.0, Pneumonitis due to inhalation of food or vomitus) Cough, chronic (786.2) Dysphagia (787.2x) Dyspnea (786.09). You may use the ICD-9 code associated with the indication for the E/M service (such as 99201-99215, Office or other outpatient visit...) and, when available, link the definitive diagnosis to the scope (31575) to help show medical necessity...

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