Pat,
Sorry I didn't see your message earlier. We are currently coding screenings as screenings for the primary dx and then any findings as secondary. It just so happens that we have a payer who will look at all dx codes and so they are processing based on the findings (listed secondary). It is just their policy and I can't seem to get them to change it.
Sorry I am not much help. See Coding Guidelines: Section 1. Conventions, General Coding Guidelines and Chapter Specific Guidelines, C. Chapter Specific Coding Guidelines, #18 Classifications of Factors Influencing....., #5 Screening, 2nd paragraph starting with "a screening code may be a first listed....".
Good luck.
Sorry I didn't see your message earlier. We are currently coding screenings as screenings for the primary dx and then any findings as secondary. It just so happens that we have a payer who will look at all dx codes and so they are processing based on the findings (listed secondary). It is just their policy and I can't seem to get them to change it.
Sorry I am not much help. See Coding Guidelines: Section 1. Conventions, General Coding Guidelines and Chapter Specific Guidelines, C. Chapter Specific Coding Guidelines, #18 Classifications of Factors Influencing....., #5 Screening, 2nd paragraph starting with "a screening code may be a first listed....".
Good luck.