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[QUOTE="Rpace18, post: 515759, member: 500273"]
Yes, the DX code Z86.010 is used as the reason for the colonoscopy. I know most Aetna/UHC/Cigna and some BCBS don't consider personal HX of polyps to be... [ Read More ]
[QUOTE="bethb, post: 515752, member: 57120"]
Hi and thank you for your reply. I'm stuck at past history of polyps.. if a patient presents for a surveillance colonoscopy due to a past history of a po... [ Read More ]
How do you guys code if a Medicare patient is told to come back in 1 year as the doctor wants to recheck a specific area for regrowth? When I was trained in, I was told to only code that specific poly... [ Read More ]
I agree with all the advice above. Neither one is correct from a coding standpoint. I agree that according to the information/documentation provided, the coding is incorrect. The Isovue was being used... [ Read More ]
Nothing changed that I know of as far as the NCCI CMS modifier 25 definition. [URL]https://www.cms.gov/files/document/chapter1generalcorrectcodingpoliciesfinal11.pdf[/URL]
Revision Date (Medicare): 1/... [ Read More ]
Hi Everyone,
From my past experience if the patient had [B]symptom [/B]to warrant a colonoscopy..put that as first dx. So let us say the patient had fecal abnormalities dx R19.5 or bleeding K92 dx, th... [ Read More ]
Hello,
Screenings will always have Z12.11 as admit and primary dx. As such then your therapeutic procedures(45385, 45380) will need modifier PT added.
When two CPT'S are done there will be an edit 40 ... [ Read More ]
[QUOTE="shanno-77@hotmail.com, post: 499902, member: 538794"]
I am also confused as what to be billing. BCBS insurance. Patient has history of polyps Z86.010 comes back in for surveillance dr. doesn't... [ Read More ]
I am also confused as what to be billing. BCBS insurance. Patient has history of polyps Z86.010 comes back in for surveillance dr. doesn't find anything.
Would Z12.11 with Z86.010 and an asa code of ... [ Read More ]
[QUOTE="LisaAlonso23, post: 499381, member: 220094"]
If it's UHC, you need to use Z86.010 followed by the polyp code (ie, K63.5, D12.0, D12.2, D12.3, etc). UHC does not consider a colonoscopy for pati... [ Read More ]
Wondering what new procedure codes the new year will bring Wonder no more CPT 2024 will include 153 new codes throughout the code book including the Evaluation and Management section several Surgery s... [ Read More ]
Youll find minimal changes to the Medicare National Correct Coding Initiative NCCI code files this fourth quarter 2023. The update effective Oct. 1 includes just three changes to code edits in both th... [ Read More ]
Former MedPAC commissioner cites agencies high profit margins. Home health agencies HHAs have been making a lot of noise to push back on the proposed rate cuts for 2024 and a Senate hearing has added ... [ Read More ]
Code descriptor revisions are about time. After the extensive changes CPT made to the evaluation and management EM codes and guidelines over the last few years youll be relieved to know that the EM ch... [ Read More ]
DOCUCON provides answers and solutions for CDI specialists and those considering a CDI career. AAPC concluded its clinical documentation improvement CDI conference DOCUCON today. Healthcare business p... [ Read More ]