ljones88
Networker
Hi,
I searched the threads and couldn't find a thread related to my issue. An established patient with a history of nasopharyngeal cancer is seen in the office for a laryngoscopy. Physician also documents an E/M and removed impacted cerumen from the ears. Patient completed chemo and radiation therapy about a year ago and the physician has the patient come in every 6 months now for cancer surveillance. Since the patient doesn't have any symptoms other than a dry throat, and no evidence of disease, I'm having a hard time figuring out what diagnosis code to use for 31575. Both Z codes, Z85.818 and Z08, are falling into an LCD edit as not meeting medical necessity...
So would I bill just the E/M and 69210 and forgo billing 31575 since I have no other dx that can be billed with 31575???
I searched the threads and couldn't find a thread related to my issue. An established patient with a history of nasopharyngeal cancer is seen in the office for a laryngoscopy. Physician also documents an E/M and removed impacted cerumen from the ears. Patient completed chemo and radiation therapy about a year ago and the physician has the patient come in every 6 months now for cancer surveillance. Since the patient doesn't have any symptoms other than a dry throat, and no evidence of disease, I'm having a hard time figuring out what diagnosis code to use for 31575. Both Z codes, Z85.818 and Z08, are falling into an LCD edit as not meeting medical necessity...
So would I bill just the E/M and 69210 and forgo billing 31575 since I have no other dx that can be billed with 31575???