Other primary progressive tuberculosis confirmation unspecified (010.80)
ICD-9 code 010.80 for Other primary progressive tuberculosis confirmation unspecified is a medical classification as listed by WHO under the range -TUBERCULOSIS (010-018).
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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 ]
Accelerated payments may now be on the table. Whether your reimbursement is affected by the cyberattack on UnitedHealth Groups Change Healthcare division or not you should be paying attention to the c... [ Read More ]
On Feb. 21 2024 Change Healthcare experienced a cybersecurity attack on their systems. Change Healthcare promptly disconnected their systems to help protect outside connections from further harm. Howe... [ Read More ]
Texting patient orders among members of a healthcare team is permissible when done securely. On Feb. 8 2024 the Centers for Medicare 38 Medicaid Services CMS issued an updated memorandum on the allowa... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS posted on March 1 the National Correct Coding Initiative NCCI procedureto procedure PTP edit files for the second quarter. Have you checked to see if ... [ Read More ]
Astara N. Crews CPC CPEDC is a diplomatic dedicated and respected healthcare executive recognized for leading and inspiring people to deliver excellence. Although she no longer maintains her AAPC cred... [ Read More ]