Wiki dx for 86706

[kellywilder]

Hi! I am new to all of this! I am having a lot of claims denied by United for 86706. The test is a screening, most patients are not carriers or have even had exposure. I called United and they said it needs to be a routine dx. Any help would be appreciated!

 

[mitchellde]

The patient may not have coverage for this type of screening. Not all screenings are covered, therefore it is patient responsibility. You cannot code for something that isn't.

 

[kellywilder]

The are not being denied for non-covered service. The denial states "The reported diagnosis codes are inconsistent with the service rendered and are not eligible for reimbursement." The dx used by the provider was V75.9.

 

[mitchellde]

screening for hepatitis not common so I guess the question then is why did they patient want or why did the physician suggest a hepatitis screening. This could help then determine if there is anything more that can be added.