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ICD-10-CM Diagnosis Codes for Postprocedural Hematoma Erroneously Denied

January 8, 2018

An article published in the September 2017 Family Planning, Access, Care and Treatment (Family PACT) Update titled “Family PACT Adds ICD-10-CM Diagnosis Codes for Postprocedural Hematoma” informed providers that, effective for dates of service on or after November 1, 2017, ICD-10-CM diagnosis codes for postprocedural hematoma, L76.32 and N99.840, are reimbursable for the Family PACT Program.

The system was not updated in time for the November 1, 2017, effective date; therefore, the effective date was revised to January 1, 2018. Claims with ICD-10-CM diagnosis codes L76.32 and N99.840 for dates of service from November 1, 2017, through January 1, 2018, may be denied. An Erroneous Payment Correction will be issued to reprocess affected claims. Providers should continue to submit claims in a timely manner.