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Iron deficiency anemia, screening colon procedure performed What other primary diagnosis could we. Screening is always performed on asymptomatic patients.

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We received a denial from bcbs for missing/incomplete/invalid diagnosis or condition This present a problem when the patient is truly having a screening colonoscopy (00812) and there is no other purpose but for this The icd 10 codes used are z12.11, k57.30, and q43.8

The cpt used is 45378

I’ve used these codes before and did not receive a denial Do we just need to remove the k57.30 and q43.8 codes? The facility billed z12.11 and then z86.010 per the aha coding clinic fourth quarter 2013 Medicare has always allowed cpt 45380 with icd 9 v76.51 (screening for malignant neoplasm, colon) as screening, but now when we're using the same diagnosis code in icd 10, z12.11, they're denying it for routine

I think they have a system issue with their claim edits So far i've been unable to get medicare to understand the problem. I reviewed documentation from a recent askmueller seminar of gi coding and billing and it states to assign z12.11 screening for malignant neoplasm as the primary diagnosis code for high risk screening colonoscopy, stating a surveillance colonoscopy is a screening colonoscopy. We billed an invoice to medicare with icd 10 codes z12.11 and k64.1 and d12.7

This means that the colonoscopy was a screening and a colon polyp and hemorrhoids were found

45380 was used because there was a biopsy performed We received a denial stating these are. Can anyone tell me if bcbs is now accepting the screening g codes I billed a screening colonoscopy with z12.11 and 45378, and they did not cover the cost as a screening

They told the patient that it needs to be billed as a screening for them to waive the copay