Wiki coding from Lab requisition

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NIKI01

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Hello,

I am looking for some help with coding for blood work.
70 y/o male came in for blood work. Primary physician ordered:
CBC and differential
Comprehensive metabolic panel
Lipid panel
Hemoglobin A1c
dx. Routine adult health maintenance.

my gestion is -- how this should be coded? I coded as Z00.00 because only Z00.00 was documented on requisition and there weren't provider notes linked to the requisition. However, billing dept wants me to add Z13.6 for Lipid panel. Billing dept said:

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I am looking for guidelines to support coding; however, I cannot find anything. Can you help please?

thank you for any help!
 
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Z13.6 is the code Medicare requires for the lipid panel when ordered as a screening service. It's probably correct for this patient as part of the routine health service, however it's no so stated by the provider in the order you've shared, so technically it would not be supported. To be strictly correct here, you would need to query the provider for clarification that this is why it was ordered.
 
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