patdow
Networker
I’m looking for advice on how to bill a colonoscopy screening for a patient who is high risk due to her transplant status. She has Medicare and needs colonoscopies every 5 years due to her transplant status. She has had no findings in her previous colonoscopies. She also has no family history of colon cancer. Additionally, she has no abdominal/GI related diagnosis that I can use.
I used Z12.11 as only diagnosis and G0121 for her CPT code and Medicare denied.
I used Z12.11 as only diagnosis and G0121 for her CPT code and Medicare denied.