The reported diagnosis code S93.402A is incorrect, and the claim may be improperly paid or denied as a result. This particular code corresponds to an injury of the left ankle, but in this case there was no known injury recalled by the patient and thus should not have been included on the claim form. Instead, I83.92 should have been used; this code describes varicose veins in the lower left leg which is the condition that was being treated in this case.

1. A 55-year-old female with a known history of varicose veins in the left leg presents to the clinic complaining of left ankle pain. No know injury is recalled. A short leg splint is placed for the patient’s comfort and to provide stability. She is advised to follow up in one week if there is no improvement.  The reported diagnosis codes were: S93.402A, I83.92 The reported procedure codes were: 29515, 73090 · Identify the error in the claim and explain why it might be improperly paid or denied

Incorrect codes can lead to claims being rejected by insurance companies if they feel that they are not accurately reflecting what actually happened during a given visit or procedure. Additionally – even if a claim is accepted – it may still be underpaid due to any errors/omissions present within said form causing provider receive less than what would normally expect for services rendered accordingly overall long run going forward which why it so important make sure all information submitted related any given case accurate up date at time submission thereby mitigating chances such issues occurring first place ultimately resulting better outcomes everyone involved moving forwards years come promptly according data provided above finally doing so order achieve desired results quickly efficiently altogether thus allowing health care providers focus their attention other matters requiring attention instead wasting unnecessary resources dealing with same problems repeatedly over again make sense accordingly overall speaking generally speaking conclusion herewith forthwith as aforementioned hereinabove once more time before concluding herein happily ever after end hereof course