Results 1 to 4 of 4

Tb screening

  1. Default Tb screening
    Medical Coding Books
    Hello; can someone tell me what diagnosis to use for a TB screening done by chest X-Ray. I used the V74.1 which is not payable by Medicare.

  2. #2
    Location
    Tyler, Texas
    Posts
    22
    Default
    I am not aware that Medicare pays for ANY tuberculosis screening. If the patient has symptoms and needs a diagnostic evaluation to rule out TB, then code the symptoms (cough, fever, weight loss, etc) or the working diagnosis. If someone had contact with or exposure to tuberculosis, the code would be V01.1, but I still doubt that Medicare covers that screening.

  3. #3
    Default TB screening
    In South Carolina medicare will pay for TB screening,, the first test using V74.1 as a second diagnosis, we use another condition that the patient has as the primary diagnosis and get paid.

  4. #4
    Location
    Tyler, Texas
    Posts
    22
    Default
    There is a distinction between screening and diagnostic testing.

    Certainly, if TB is a possible diagnosis that needs to be evaluated, then TB testing is covered. However, if one is simply screening for TB (out of curiosity, or for employment reasons, for example, and in the absence of signs, symptoms, or increased risk of disease, i.e. exposure to TB) then it would not likely be covered.

    If you review the CMS Guide of Medicare Preventive Services, you won't find a provision for TB screening.

Similar Threads

  1. Screening
    By Joce579 in forum ICD-10
    Replies: 1
    Last Post: 10-07-2015, 01:19 PM
  2. screening or no?????
    By Lynda Wetter in forum Diagnosis Coding
    Replies: 2
    Last Post: 05-02-2013, 06:46 PM
  3. UA screening
    By ALALA in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 10-02-2012, 11:00 AM
  4. Screening
    By amylis1 in forum OB/GYN
    Replies: 3
    Last Post: 01-17-2012, 09:11 PM
  5. Dx or Screening?
    By GDURHAM in forum Gastroenterology
    Replies: 1
    Last Post: 11-19-2009, 03:24 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.