We are getting denials for 82272 with V76.51. Is there another screening code anyone is using that they are getting paid on. V76.51 is no longered listed on NCD as a payable DX for this procedure. All suggestions are appreciated.
The problem isn't with your diagnosis code, it's with your CPT code.
Per the January 2011 NCD report, 82272 is "performed for other than colorectal neoiplasm screening". Essentially, to bill that code, patient should have a symptom. Use 82270 FOBT or G0328 (read the code descriptions) for screening. The Medicare preventive services guide recommends you contact your local carrier for the appropriate diagnosis code for 82270.