denial for preventive and dx

djuhl1

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Has anyone heard of an EGD and a preventive colonoscopy being denied because one is preventive an the other is dx? I got a denial from Medicare and Fl Blue:confused::confused::confused:
 

agibb1022

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Has anyone heard of an EGD and a preventive colonoscopy being denied because one is preventive an the other is dx? I got a denial from Medicare and Fl Blue:confused::confused::confused:

Is the denial related to the fact that they are done at the same time without a medical reason for being done at the same time? (Ex: pt on warfarin would justify both at the same time, but patient simply wanting them done together for their own convenience would not justify.)
 
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