• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki BRCA E&M denial

VickieArballo

Contributor
Messages
10
Location
Fresno, CA
Best answers
0
I am billing an E&M service for a new patient who is only being seen in the office to consult with our surgeon for options on treatment for +BRCA 1&2 status. The patient has no symptoms. I billed CPT 99203 with ICD-10 codes 1) Z71.2 2) Z15.01 3) Z15.09

Insurance is denying claim because they claim that the primary diagnosis code is not allowed to be billed as primary. I would appreciate any help with reviewing this service and advising me if there is a better primary diagnosis code.

Vickie
 
Top