Insurance/HSA or FSA Reimbursement

** ICD-10 CODES MANDATORY IN OCTOBER 2015.  First listed CODES BELOW ARE ICD-9, USE THESE CODES unless specified by insurer.  Codes in parenthesis are ICD-10. This page is a work in progress as codes transition, so PLEASE CONTACT ME WITH ANY QUESTIONS AND I’LL HELP YOU.  heidi.j.johnson@gmail.com **
Please use this page to submit a readable copy of my receipt for possible reimbursement from your insurance company.  Please note, each plan is different with varying levels of benefits.  The House Call visit may not be fully or even partially reimbursed.
You may also submit my receipt to your Federal or Health Savings Account for consideration.  Codes may or may not be needed, put them on to be safe!
Write the appropriate code by each diagnosis (“Diagnosis Code”) on the receipt, as well as by the visit charge (new or established patient) and by any treatment charge (pulse ox, strep test, nebulizer treatment) (“Procedure Code”).  If you do not find your diagnosis on the list, please email me (heidi.j.johnson@gmail.com).  Make a readable copy of the receipt and send that, along with a note asking for consideration for reimbursement, to your insurance carrier.  Some carriers may ask you to fill out their form.  If so, use this information to complete the form.  My tax ID number and license number are on the top of the receipt if needed.  If not, please list it in by my name:  #27-0985640.
Note:  Medications are not reimbursable.  New patient means the first time I come to your house, established patient means subsequent visits.
  • AGE:  558.3 (A090)
  • Abdominal Pain (R10.84)
  • Abscess:  (L02)
  • Abrasion:  (T14.8)
  • Allergic Rhinitis:  (J30.1)
  • Allergic Conjunctivitis:  (H10.45)
  • Asthma (stable):  493.0 (J45.20)
  • Asthma Exacerbation:  493.22 (J45.901)
  • Balanitis:  (N48.1)
  • Bronchiolitis: 466.11 (J21.9)
  • Bronchitis:  466.0 (J40)
  • Bronchospasm:  519.11 (J98.01)
  • Bullous Impetigo:  (L01.03)
  • Candidial Diaper Rash:  (B37.2)
  • Cat Bite:  (W55.01)
  • Cerumen Impaction:  380.4 (H61.23)
  • Cellulitis:  (L03)
  • Conjunctivitis:  372.01 (H10.013)
  • Contact Dermatitis:  (L25)
  • Costochondritis:  (R07.9)
  • Coxsackie:  079.2 (B97.11)
  • Croup 464.4 (J05.0)
  • Diaper Dermatitis:  (L22)
  • Dry Skin Dermatitis (L85.3)
  • Dermatitis, Unspecified  (L30.9)
  • Diarrhea:  (R19.7)
  • Dog Bite:  (W54)
  • Epistaxis:  (R04.0)
  • Eczema:  (L30.9)
  • Fall:  (W19)
  • Fever:  780.6 (R50.9)
  • Fifth Disease: (B08.3)
  • Folliculitis:  (L66.2)
  • Foreign Body (Ear):  (T16.9XXA)
  • Foreign Body Removal (Ear) (“Procedure Code”):  (PCS.09C0XZZ)
  • Foreign Body (Nose):  (S00.35XS)
  • Foreign Body Removal (Nose) (“Procedure Code”):  (PCS.09CKXZZ)
  • Foreign Body (Splinter) of foot without infection:  (S90.859A)
  • Foreign Body (Splinter, foot) Removal:  (PCS.0HCMXZZ)
  • Foreign Body (Splinter) of hand without infection:  914.6 ( S60.559A)
  • Foreign Body (Splinter) of foot:  infected:  (S91.3)
  • Fussy Baby:  780.91 (R68.12)
  • Gastroenteritis:  (K52.9)
  • Head Injury:  959.01 (S09.90XA)
  • Heart Murmur:  (R01.1)
  • Herpangina:  074.0 (B08.5)
  • Human Bite:  (E928.3)
  • Idiopathic Urticaria (L50.1)
  • Impetigo:  (L01.00)
  • Incision and Drainage, Simple:  (10060)
  • Influenza:  (J09.X2)
  • Injury of face or neck (nose):  959.09 (S09.93XA)
  • Injury of hand (not finger):  959.4 (S60.929A)
  • Insect Bites (including tick): 919.4 (T07)
  • Jaundice:  774.6 (P58.9)
  • Keratosis Pilaris:  757.39 (L85.8)
  • Lacerations:
  • Unspecified injury of face:  S09.93XA
  • Laceration without foreign body of scalp, initial encounter:  S01.01XA
  • Laceration repair, initial encounter:  T81.33XA
  • Lice:  B85.0
  • Molluscum Contagiosum:   078.0 (B08.1)
  • Nasolacrimal Duct Obstruction 375.56  (H04.539)
  • Nebulizer Treatment (“Procedure Code”):  94640 #1 / 94640-76: #2 & #3
  • Nevus:  448.1 (I78.1)
  • Newborn Feeding Problem: 779.3 (P92.9)
  • Nursemaid’s Elbow:  832.2 (S53.033S)
  • OM (L or R): 382.9 (H66.90)
  • OE:  H60.3
  • Otalgia:  388.70 (H92.09)
  • Paronychia:  681.02/Cellulitis of unspecified finger:  L03.019
  • PCN Allergy:  V14.01
  • Perforated TM:  384.2 (H72.90)
  • Petechiae:  782.7 (R23.3)
  • Pharyngitis:  462 (J02.9)
  • Plantar Wart:  078.12 (B07.0)
  • Pneumonia:  482 (J17)
  • Pulse Ox (“Procedure Code”):  94760
  • Purulent OM:  382.4 (H66.40)
  • Rapid Strep Test (“Procedure Code”):  87880QW
  • Respiratory Distress:  786.09 (J80)
  • Roseola:  058.10 (B08.21)
  • Reflux:  530.81 (K21.0)
  • R/O TB (for daycare or school entry):  V74.1
  • Scarlet Fever:  A38.9
  • Seborrhea:  706.3 (L21.9)
  • Seborrhoeic Dermatitis:  690.10 (L21.9)
  • Sinusitis:  J01.00
  • Chronic Sinusitis:  J32.9
  • SOM (L, R or B): H65.00
  • Strep Pharyngitis:  034.0 (J02.0)
  • Strep:  Peri-Anal:  B95.5
  • Suture Removal (Procedure Code”):  V58.32
  • Teething:  526.7 (K00.7)
  • Tinea Corporis:  110.5 (B35.4)
  • URI:  465.9 (J06.9)
  • Urticaria: 708 (L50.0)
  • Viral Syndrome: 79.99 (B34.9)
  • Visit Charge/House Call Charge (“Procedure Code”):  99343-new pt/ 99348-est. pt/ 99344-new pt for Wheezing/asthma visit (est. pt=99350)
  • Vomiting:  787.03 (R11.1)
  • Well Child Exam v20.2 (Z00.129)
  • Weight Loss:  783.21 (R63.4)
  • Wheezing: 786.07 (R06.2)

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