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lab denials

J
Wiki Receiving Lab denials from UHC when using Z codes

Hello! I have been noticing an issue with United HealthCare where they are denying our lab claims for medical necessity if the first dx is a Z code. The lab charges vary but I tend to see that a lot of the time labs such as CBB w/ dif, Lipid panel, and Hemoglobin A1C are the ones being denied...
- jbooklover
- Thread
- Feb 4, 2021
- lab denials medical necessity denial united healthcare z code
- Replies: 3
- Forum: Billing/Reimbursement
M
Wiki 86592 Chlamydia

A patient was seen at our family care office. He had been told by the health dept that he may need to be treated a second time for chlamydia. Our dr ordered 86592. Test results were negative. Am I able to code z11.3 since we are looking for the infection again? If not, what can I use? I...
- mariann.dalton
- Thread
- Jul 5, 2017
- 86592 chlamydia diagnosis coding lab lab denials
- Replies: 0
- Forum: Pathology & Clinical Laboratory
L
Wiki Changing diagnosis on denied lab tests

Any help would be greatly appreciated. If a patient is seen and the provider orders 4 lab tests and documents 2 diagnosis for the visit. Lets say 2 of the labs pay and 2 deny due to non covered diagnosis. If the patient was previously seen (say with in the previous 30 days) and there is a...
- LydiaG
- Thread
- Nov 12, 2016
- lab denials lab diagnosis
- Replies: 4
- Forum: Diagnosis Coding

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