Hello! I bill for a Gastroenterology office and I always get confused about this.
Patient came in for their office visit before their colon screening. Patient had a colon screen done 10 years ago. The colon screening paid in full like it should but the office visit applied to his deductible.
The office visit was billed as a new patient code- 99204 and dx code z12.11. The patient called his insurance company and said we coded it wrong. It was coded as a new patient. He hasn't been seen in over 3 years though?
How do I go about this because there really isn't anything else for me to change? Everything looks right to me. If a patient is coming to get their screening shouldn't the office visit, screening and post office visit all be covered? Thanks!
Patient came in for their office visit before their colon screening. Patient had a colon screen done 10 years ago. The colon screening paid in full like it should but the office visit applied to his deductible.
The office visit was billed as a new patient code- 99204 and dx code z12.11. The patient called his insurance company and said we coded it wrong. It was coded as a new patient. He hasn't been seen in over 3 years though?
How do I go about this because there really isn't anything else for me to change? Everything looks right to me. If a patient is coming to get their screening shouldn't the office visit, screening and post office visit all be covered? Thanks!