I'm educating my doctor, what diagnosis codes does ins pay?

Submitted by an LD OnLine user on

Hello all,
I am having to teach my son’s doctor about SID and CAPD. Even though I work in the medical field I am at a loss as to what diagnosis codes (ICD-9) insurances will pay on. I know that they won’t touch LD codes and there is not a specific code for it. I have been searching for neurological codes but I dont know what to use. His doctor doesn’t know what to use either. He has vision issues (double vision, spastic)and audio issues(processing the sound not hearing). I need codes for each of them. If any one knows what codes that were listed for their kids and your insurance paid or if you code for a doctor or hospital and know please let me know what codes you use. Using the right code means the difference between them paying and not paying for the help that he desperately needs.
Thanks
Teena

Submitted by Anonymous on Tue, 11/16/2004 - 10:25 AM

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http://www.asha.org/about/publications/leader-online/b-line/BL020514.htm

These are the CPT codes your doctor needs to bil your insurance.

BTW your doctor’s staff should know these codes. They don’t sound too with it.

Your doctor should be the one doing the educating.

Submitted by Teena in SWGeorgia on Thu, 11/18/2004 - 7:20 PM

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I loved the info you put on for me about the hearing. Now she wants to know about the vision. Have a good site for that? THANK YOU for your help! :D :D :D :D

Submitted by Anonymous on Fri, 11/19/2004 - 4:54 AM

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[quote:089d476ac4=”Teena in SWGeorgia”]I loved the info you put on for me about the hearing. Now she wants to know about the vision. Have a good site for that? THANK YOU for your help! :D :D :D :D[/quote]

Vision is some very complex stuff and the entire mechanism of just how it works is not usually well understood by doctors. Then again not much is. :lol:

It is important to know that vision is more than just seeing clearly. Infacr much of what the optic nerve’s fuction is has nothing to do with seeing at all. Even a slight malfuction can throw a monkey wrench into the works so to speak.

I would suggest that you give vision therapy a shot. Their are optometrists who specialize in vision therapy and diagnosing various visual problems that have a neurological basis.

Make sure you get an accurate dx.

I mention optometrists because they are often better trianed than opthomologists in all the componets of vision. Opthomologists are generally more concerned about diseases of the eye.

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