Wiki Billing with multiple diagnosis codes and one of those codes results in the entire claim being denied

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7016CJ

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Diagnoses are matched up with each test on the physician order but when entered at Registration the diagnoses are no longer linked to a specific test. Is it possible for one of the codes, for example Z13.6, be the reason for all blood tests to be denied, even though that code was specifically documented for only one of the blood tests.
 
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Yes. What is the 5th character? Which code is this linked to? This is for "procreative management". I probably wouldn't use this on a lab code. Also, it sounds like your registration team needs some training.
 
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The code is Z13.6, encounter for screening for cardiovascular disorders (not Z31.6). Z13.6 is linked to a Lipid Panel cpt 80061. Could the ZCode in this instance be pertaining to the office visit itself?
 
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7016CJ said:
The code is Z13.6, encounter for screening for cardiovascular disorders (not Z31.6). Z13.6 is linked to a Lipid Panel cpt 80061. Could the ZCode in this instance be pertaining to the office visit itself?
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oops! Yes, Z13.6 should be linked to the exam. CPT 80061 the code should be Z13.220. (this code INCLUDES 82465, 83718, 84478)
 
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