aTTENTION MEDICAL BILLERS HOW IMPORTANT IS THE FIRST DIAGNOSIS? WHAT DOES THE FIRST DIAGNOSIS PURPOSE?

Answer 1

I am a medical biller. You must put a diagnosis code that "matches" the procedure done, or the insurance company will not pay for the procedure. The first code tells the insurance company that this is the primary reason why the procedure was done. You can have second, third and even fourth codes also to show added reason for the procedure or office visit. There must be a correct, correlated diagnostic code to show reasonable cause or the insurance company will not pay the charge.

Answer 2

I'm not in billing, but I do work in the medical field. If I understand it right, the first diagnosis listed should be the primary illness/injury. This can make a big difference when it comes to insurance companies paying claims or authorizing procedures. The first diagnosis will often be the determining factor when it comes to medical necessity.

Answer 3

DROP THE CAPS YOU STUPID ****