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Wiki Preventative Services and Gastro

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DTAYLOR1076

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I need some advice one of our physicians keeps coding patients visits with a 99387 (preventative medicine) with use of ICD-10 codes: Z86.010 personal history of polyps, or Z12.11 Encounter screening for malignant neoplasm of colon. My issue is some of our patients are Medicare patients and as you know Medicare covers an annual wellness visit once a year. Should these be coded as an OV rather than preventative? Your help is greatly appreciated.
 
I say no to using the preventive code and no to using the screening Z code.The guidelines state that the screening Z codes can be used only on the encounter wher the screening procedure is performed. So no you cannot code screening just because it was ordered or planned.
 
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