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SCREENING ENDOSCOPY COMMERCIAL PAYORS

S

surfergirl

Networker
Messages
72
Location
Spring Lake, NJ
Has anyone ever used screening code Z13.810 for upper GI screening for commercial payors? I thought Endoscopies were Diagnostic only.

would appreciate any feedback

Thank you
 
surfergirl said:
Has anyone ever used screening code Z13.810 for upper GI screening for commercial payors? I thought Endoscopies were Diagnostic only.

would appreciate any feedback

Thank you
Click to expand...
My understanding is there are no payable screenings for upper GI. I have seen our doctor use this diagnosis on the report, but the patient usually has another symptom that is billable. Does the patient have GERD that they are screening for barretts? If so, you can use GERD as your diagnosis.
 
I agree, I've never encountered an EGD done for screening purposes. I don't think a physician would subject a patient to this procedure unless there was an actual medical problem that required investigation. I imagine that it's a coding error on the part of the physician, which would not surprise me as physicians generally don't understand coding rules.
 
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