I used the wrong diagnosis code in a dental claim to Medicare. The medicare rep told me that I have to correct it when the claim is processed. Are there any circumstances? What will happen now? Thank you.

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  • I used the wrong diagnosis code in a dental claim to Medicare. The medicare rep told me that I have to correct it when the claim is processed. Are there any circumstances? What will happen now? Thank you.

I used the wrong diagnosis code in a dental claim to Medicare. The medicare rep told me that I have to correct it when the claim is processed. Are there any circumstances? What will happen now? Thank you.

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Asked on July 12, 2014
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Depending on the diagnosis code you used their may be repercussions to the patient (i.e. if you placed a diagnosis of malignancy and it was benign) Once the claim is processed you will need to immediately put in for a claim correction with Medicare, they will usually ask you to use one of the forms on their website for this type of correction.

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Answered on January 1, 1970
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