mgarcia400
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Hello all,
I bill for a family practice. We had a new patient come in for their annual physical along with an immunization. Billed was Z00.00 (patient is 18yrs old) with 99385, also adult Z68.20 (adult BMI).
The claim was denied "invalid diagnoses code with patient's age and/or gender." Requested a corrected claim with appropriate procedure code for patient's age.
My question is, even though the patient is 18 years of age, does this still fall under a child wellness visit and should be coded as Z00.129 along with pediatric BMI code? I know some payors may be different with these rules. This was Cigna insurance.
Can someone please clarify?
Thank you!
I bill for a family practice. We had a new patient come in for their annual physical along with an immunization. Billed was Z00.00 (patient is 18yrs old) with 99385, also adult Z68.20 (adult BMI).
The claim was denied "invalid diagnoses code with patient's age and/or gender." Requested a corrected claim with appropriate procedure code for patient's age.
My question is, even though the patient is 18 years of age, does this still fall under a child wellness visit and should be coded as Z00.129 along with pediatric BMI code? I know some payors may be different with these rules. This was Cigna insurance.
Can someone please clarify?
Thank you!