sedel1156
Contributor
Hello all. I would love to hear feedback on this. I have a provider (Family medicine) who consistently reports Z00.00 and Z01.419 on her encounters. I have tried to explain that these diagnosis codes are not allowed on the same claim. The response I received was, "As a family physician I include the well woman exam (pap/pelvic and breast exam) in the annual wellness visit.". I have been trying to find documentation that specifically states that the two dx codes cannot be billed on the same day, same claim. Trying to keep this on a very professional level, as I am just starting to code/bill for this provider and want to establish a good rapport. Any help will be very much appreciated!
Thank you!
Thank you!