Guest guest Posted July 26, 2011 Report Share Posted July 26, 2011 I still use 847.1 with no problem. I think you have a weird adjuster on your hands. Schneider DCOn Tue, Jul 26, 2011 at 3:23 PM, Abrahamson <drscott@...> wrote: We used to use these diagnosis codes as needed: 847.0 Cervical spine sprain/strain 847.1 Thoracic Sprain/strain 847.2 Lumbar Sprain/strain Then, several insurance carriers asked us to stop using: 847.1 Thoracic Sprain/strain And suggested that we use: 739. Thoracic Subluxation Notwithstanding that they are totally different entities, they were happy. We just had a claim sent back saying the 739. Is too vague so we’re supposed to add more digits. Would love to use the terribley specific: 719.48 Arthralgia of Thoracic Spine (look at all those digits!) Anyone have insights into a proper code for Thoracic Sprain/strain type injuries? Thanks. Preparing to throw out all patients and just treat the paperwork, E. Abrahamson, D.C. Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 503-635-6246 Website: http://www.lakeoswegochiro.com -- Schneider DC PDX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2011 Report Share Posted July 26, 2011 Tell the insurance company to stick it where the sun don’t shine y…..847.1 is the code period to add specificity to the “diagnostic story” note the mechanisms of injury e.g., E812.0 “Motor vehicle collision with another vehicle. Additionally if clinically appropriate describe the other conditions symptoms that may be related to the cervical sprain or complicating factors. As my orthopedic mentor once said the late Dr. “stony” Stonebrink, your diagnosis should tell an accurate story as per what is going on with your patient what is wrong….not just throwing out DX for the sake of reimbursement or “willy nilly.” For example 847.0 Cervical Sprain (Acute, grade I C1-C2) with associated 723.9 Cervicogenic Headaches (Acute, intermittent suboccipital-temporal distribution) and complicated by 721.0 Cervical Spondylosis (Pre-existing, mild C3-C5). Something like that…..your diagnosis must be accurate as possible and tell the story of your patient…… Cheers, Vern Saboe PS: BTW there are indeed four grades of cervical sprain injuries…..we really only treat grade I & II From: [mailto: ] On Behalf Of AbrahamsonSent: Tuesday, July 26, 2011 3:23 PM ListserveSubject: ICD code mania We used to use these diagnosis codes as needed:847.0 Cervical spine sprain/strain 847.1 Thoracic Sprain/strain847.2 Lumbar Sprain/strainThen, several insurance carriers asked us to stop using:847.1 Thoracic Sprain/strain And suggested that we use:739. Thoracic Subluxation Notwithstanding that they are totally different entities, they were happy.We just had a claim sent back saying the 739. Is too vague so we’re supposed to add more digits.Would love to use the terribley specific:719.48 Arthralgia of Thoracic Spine (look at all those digits!)Anyone have insights into a proper code for Thoracic Sprain/strain type injuries?Thanks.Preparing to throw out all patients and just treat the paperwork, E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2011 Report Share Posted July 26, 2011 ….follow-up same applies to thoracic sprain 847.1 save the grading of sprain injuries that only applies to the cervical spine…..Vern From: [mailto: ] On Behalf Of vsaboeSent: Tuesday, July 26, 2011 3:42 PM' Abrahamson'; ' Listserve'Subject: RE: ICD code mania Tell the insurance company to stick it where the sun don’t shine y…..847.1 is the code period to add specificity to the “diagnostic story” note the mechanisms of injury e.g., E812.0 “Motor vehicle collision with another vehicle. Additionally if clinically appropriate describe the other conditions symptoms that may be related to the cervical sprain or complicating factors. As my orthopedic mentor once said the late Dr. “stony” Stonebrink, your diagnosis should tell an accurate story as per what is going on with your patient what is wrong….not just throwing out DX for the sake of reimbursement or “willy nilly.” For example 847.0 Cervical Sprain (Acute, grade I C1-C2) with associated 723.9 Cervicogenic Headaches (Acute, intermittent suboccipital-temporal distribution) and complicated by 721.0 Cervical Spondylosis (Pre-existing, mild C3-C5). Something like that…..your diagnosis must be accurate as possible and tell the story of your patient…… Cheers, Vern Saboe PS: BTW there are indeed four grades of cervical sprain injuries…..we really only treat grade I & II From: [mailto: ] On Behalf Of AbrahamsonSent: Tuesday, July 26, 2011 3:23 PM ListserveSubject: ICD code mania We used to use these diagnosis codes as needed:847.0 Cervical spine sprain/strain 847.1 Thoracic Sprain/strain847.2 Lumbar Sprain/strainThen, several insurance carriers asked us to stop using:847.1 Thoracic Sprain/strain And suggested that we use:739. Thoracic Subluxation Notwithstanding that they are totally different entities, they were happy.We just had a claim sent back saying the 739. Is too vague so we’re supposed to add more digits.Would love to use the terribley specific:719.48 Arthralgia of Thoracic Spine (look at all those digits!)Anyone have insights into a proper code for Thoracic Sprain/strain type injuries?Thanks.Preparing to throw out all patients and just treat the paperwork, E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2011 Report Share Posted July 26, 2011 ….follow-up same applies to thoracic sprain 847.1 save the grading of sprain injuries that only applies to the cervical spine…..Vern From: [mailto: ] On Behalf Of vsaboeSent: Tuesday, July 26, 2011 3:42 PM' Abrahamson'; ' Listserve'Subject: RE: ICD code mania Tell the insurance company to stick it where the sun don’t shine y…..847.1 is the code period to add specificity to the “diagnostic story” note the mechanisms of injury e.g., E812.0 “Motor vehicle collision with another vehicle. Additionally if clinically appropriate describe the other conditions symptoms that may be related to the cervical sprain or complicating factors. As my orthopedic mentor once said the late Dr. “stony” Stonebrink, your diagnosis should tell an accurate story as per what is going on with your patient what is wrong….not just throwing out DX for the sake of reimbursement or “willy nilly.” For example 847.0 Cervical Sprain (Acute, grade I C1-C2) with associated 723.9 Cervicogenic Headaches (Acute, intermittent suboccipital-temporal distribution) and complicated by 721.0 Cervical Spondylosis (Pre-existing, mild C3-C5). Something like that…..your diagnosis must be accurate as possible and tell the story of your patient…… Cheers, Vern Saboe PS: BTW there are indeed four grades of cervical sprain injuries…..we really only treat grade I & II From: [mailto: ] On Behalf Of AbrahamsonSent: Tuesday, July 26, 2011 3:23 PM ListserveSubject: ICD code mania We used to use these diagnosis codes as needed:847.0 Cervical spine sprain/strain 847.1 Thoracic Sprain/strain847.2 Lumbar Sprain/strainThen, several insurance carriers asked us to stop using:847.1 Thoracic Sprain/strain And suggested that we use:739. Thoracic Subluxation Notwithstanding that they are totally different entities, they were happy.We just had a claim sent back saying the 739. Is too vague so we’re supposed to add more digits.Would love to use the terribley specific:719.48 Arthralgia of Thoracic Spine (look at all those digits!)Anyone have insights into a proper code for Thoracic Sprain/strain type injuries?Thanks.Preparing to throw out all patients and just treat the paperwork, E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2011 Report Share Posted July 26, 2011 I didn’t even want to talk about this stuff. A lot of times, I send stuff to friends pertaining to things like the damage of lifestyle related illness and the enormity of our nation’s debt. I often get answers like “you’re preaching to the choir.” I’ve decided that maybe the choir needs a good sermon now and then. Thanks for the heads up. We will now wade back into battle with claim delaying cubicle dwellers. E. Abrahamson, D.C. Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 503-635-6246 Website: http://www.lakeoswegochiro.com From: Vern Saboe <vsaboe@...> Date: Tue, 26 Jul 2011 15:42:09 -0700 Abrahamson <drscott@...>, ' Listserve' < > Subject: RE: ICD code mania Tell the insurance company to stick it where the sun don’t shine y…..847.1 is the code period to add specificity to the “diagnostic story” note the mechanisms of injury e.g., E812.0 “Motor vehicle collision with another vehicle. Additionally if clinically appropriate describe the other conditions symptoms that may be related to the cervical sprain or complicating factors. As my orthopedic mentor once said the late Dr. “stony” Stonebrink, your diagnosis should tell an accurate story as per what is going on with your patient what is wrong….not just throwing out DX for the sake of reimbursement or “willy nilly.” For example 847.0 Cervical Sprain (Acute, grade I C1-C2) with associated 723.9 Cervicogenic Headaches (Acute, intermittent suboccipital-temporal distribution) and complicated by 721.0 Cervical Spondylosis (Pre-existing, mild C3-C5). Something like that…..your diagnosis must be accurate as possible and tell the story of your patient…… Cheers, Vern Saboe PS: BTW there are indeed four grades of cervical sprain injuries…..we really only treat grade I & II From: [mailto: ] On Behalf Of Abrahamson Sent: Tuesday, July 26, 2011 3:23 PM Listserve Subject: ICD code mania We used to use these diagnosis codes as needed: 847.0 Cervical spine sprain/strain 847.1 Thoracic Sprain/strain 847.2 Lumbar Sprain/strain Then, several insurance carriers asked us to stop using: 847.1 Thoracic Sprain/strain And suggested that we use: 739. Thoracic Subluxation Notwithstanding that they are totally different entities, they were happy. We just had a claim sent back saying the 739. Is too vague so we’re supposed to add more digits. Would love to use the terribley specific: 719.48 Arthralgia of Thoracic Spine (look at all those digits!) Anyone have insights into a proper code for Thoracic Sprain/strain type injuries? Thanks. Preparing to throw out all patients and just treat the paperwork, E. Abrahamson, D.C. Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 503-635-6246 Website: http://www.lakeoswegochiro.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2011 Report Share Posted July 26, 2011 Yeah, we are getting that too: the insurances want at least 4 digits and perferably 5 whenever possible. Another wrinkle......somebody didn't have enough todo last month skSunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com From: drscott@...Date: Tue, 26 Jul 2011 15:23:00 -0700Subject: ICD code mania We used to use these diagnosis codes as needed: 847.0 Cervical spine sprain/strain 847.1 Thoracic Sprain/strain 847.2 Lumbar Sprain/strain Then, several insurance carriers asked us to stop using: 847.1 Thoracic Sprain/strain And suggested that we use: 739. Thoracic Subluxation Notwithstanding that they are totally different entities, they were happy. We just had a claim sent back saying the 739. Is too vague so we’re supposed to add more digits. Would love to use the terribley specific: 719.48 Arthralgia of Thoracic Spine (look at all those digits!) Anyone have insights into a proper code for Thoracic Sprain/strain type injuries? Thanks. Preparing to throw out all patients and just treat the paperwork, E. Abrahamson, D.C. Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 503-635-6246 Website: http://www.lakeoswegochiro.com Quote Link to comment Share on other sites More sharing options...
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