Wiki Diag code for screenings turned medical colonocsopy

Create Wiki
D

dawnha1

Contributor
Messages
12
Best answers
0
We go around and around on this questions. When a patient is scheduled for a screening colonoscopy we use the Z12.11 code but then during the scope they do a biopsy of a polyp. When you bill out the surgery what is the primary diag used? The screening code or the diagnosis found during the scope?
Thanks
Dawn
 
Screening diagnosis code is listed first the finding is listed second, for procedure you use the diagnosis procedure code and append the PT modifier if it is Medicare , the 33 modifier for all other payers. Link both diagnosis codes to the procedure.
 
depending on the payor, the first listed diagnosis code would be Z12.11. Also, you need to append modifiers 33 or PT to the claim.
 
You must log in or register to reply here.
Top