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Tourette syndrome insurance information
Tourette syndrome insurance information
Insurance compensation for patients with Tourette syndrome (TS) is complicated by the diagnosis being in the ICD-9 series
for mental disorders
(290-319), which may trigger use of mental health benefit rules rather than those for medical benefits. There is ample and
mounting evidence,
however, that TS is a neurological disorder. Using the code for static encephalopathy (348.3) or unspecified nervous system
disorder (349.9),
along with the code for TS (307.23) may result in appropriate compensation. If payment is denied, an appeal letter to the
insurance company specifiying that TS is a neurological disorder and attaching the TS fact sheet from NINDS (NIH) may help. Adapted from [Zinner: 2004].
Authors
| Author: | Samuel H. Zinner M.D., 9/2007 |