Good afternoon,
I have a quick question regarding the additional dx for G0475 test on 71y/o patient. Billing processed the claim with Z11.4 (screening for HIV).
Z11.4 was the only dx listed on the requisition for the blood work and there was no provider's documentation linked to the requisition. However, the claim was rejected based on dx. The billing department is looking for secondary diagnosis codes denoting high risk factors. In my opinion there should be only Z11.4 coded because lack of provider's documentation; however, the billing dept. sent it back to me to review this account again. How be this account coded?
Please advise.
thank you so much
I have a quick question regarding the additional dx for G0475 test on 71y/o patient. Billing processed the claim with Z11.4 (screening for HIV).
Z11.4 was the only dx listed on the requisition for the blood work and there was no provider's documentation linked to the requisition. However, the claim was rejected based on dx. The billing department is looking for secondary diagnosis codes denoting high risk factors. In my opinion there should be only Z11.4 coded because lack of provider's documentation; however, the billing dept. sent it back to me to review this account again. How be this account coded?
Please advise.
thank you so much