Hello;
Here is a scenario and I greatly appreciate any input.
Patient with dense breasts is coming in for screening mammo, CAD and tomosysthesis. Billed at G0202, 77052 and 77063 with the dx of Z12.31. My question has to do with the tomo - we have a carrier that pays for screening tomosynthesis for patients with dense breasts. What diagnosis code should be used on the tomo? Z12.31 and R92.2 exclude each other. If only Z12.31 is used on the tomo claim is denied. Should it be R92.2 only?
Thank you.
Here is a scenario and I greatly appreciate any input.
Patient with dense breasts is coming in for screening mammo, CAD and tomosysthesis. Billed at G0202, 77052 and 77063 with the dx of Z12.31. My question has to do with the tomo - we have a carrier that pays for screening tomosynthesis for patients with dense breasts. What diagnosis code should be used on the tomo? Z12.31 and R92.2 exclude each other. If only Z12.31 is used on the tomo claim is denied. Should it be R92.2 only?
Thank you.