Hello All!
Im in search of feedback on how to code a particular visit. A patient has no voiced pain issues just states that there is a lot of wax in ears and they have to wipe their ears out. A Provider examines the patients ears and documents that both ears are free of cerumen. The codes provided for billing are 99212 with Dx code Z01.10 (encounter exam of ears and hearing w/o abnormalities). Medicare denied this claim as non covered when considered routine. I am aware that Z01.10 would usually be billed with routine and well visits ;so how should this visit be coded? Does the procedure code need to be changed? Would we not be able to bill for this service?
Thank you all for your answers and feedback!!!
Im in search of feedback on how to code a particular visit. A patient has no voiced pain issues just states that there is a lot of wax in ears and they have to wipe their ears out. A Provider examines the patients ears and documents that both ears are free of cerumen. The codes provided for billing are 99212 with Dx code Z01.10 (encounter exam of ears and hearing w/o abnormalities). Medicare denied this claim as non covered when considered routine. I am aware that Z01.10 would usually be billed with routine and well visits ;so how should this visit be coded? Does the procedure code need to be changed? Would we not be able to bill for this service?
Thank you all for your answers and feedback!!!