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Imo Diagnosis Code?

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cooter

Question

I called my health insurace carrier BCBS and asked if they would pay for an IMO from a doctor. The person didn't know what an IMO was and said it was based on a

diagnostic code. She said the code would be noted in a medical CPT or ICD9. Any help anyone?

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Cooter,

My wife says the doctor would most likely bill using a new patient consultation code (there are several codes available for extended office calls, etc)and add billing codes for any necessary procedures(such as lab work, X-Ray, EKG, stress testing, etc). As far as diagnoses goes, the doctor would most likely include codes for all diagnoses that are related to your IMO.

I hope this helps.

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What you do is go to a doctor you want an IMO/IME from and if they are willing to do it let them figure out how to bill your insurance. They have their ways. I did that via BC/BS. I got a great IME from a shrink and BC/BS paid for it. I don't think they knew they were paying for it.

Thanks for the info John! I think that'll be the way I go.

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Cooter,

My wife says the doctor would most likely bill using a new patient consultation code (there are several codes available for extended office calls, etc)and add billing codes for any necessary procedures(such as lab work, X-Ray, EKG, stress testing, etc). As far as diagnoses goes, the doctor would most likely include codes for all diagnoses that are related to your IMO.

I hope this helps.

What you and John just said, I'm sure that's the route I'm going! Thank you and your wife!

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