brandimaywald
New
We are a pediatric practice and recently started to receiving denials from Cigna and BCBS on our Well Checks and Immunizations. They are stating the the diagnosis used cannot be primary, we have been billing this way since implantation with out issues.
ICD-10 (Z23) is being used for immunizations.
ICD-10 (Z00) - is being used for the well check (depending upon the child's age)
I found a Medicare edit that has these listed as an unacceptable primary diagnosis. My questions is, how to code going forward as these patients coming in do not have a chief complaint but are there only for a wellness visit.
Is anyone else experiencing this issue?
ICD-10 (Z23) is being used for immunizations.
ICD-10 (Z00) - is being used for the well check (depending upon the child's age)
I found a Medicare edit that has these listed as an unacceptable primary diagnosis. My questions is, how to code going forward as these patients coming in do not have a chief complaint but are there only for a wellness visit.
Is anyone else experiencing this issue?