Does anyone have any advice on the following? Pt had base of tongue/tonsil cancer and finished treatment in 2017. Pt comes in for follow-up, physician does scope (31575) to make sure everything is good and no new growths. We bill the scope with a history of code and Humana ALWAYS denies it. The office visit gets paid but not the scope. Since it has been 2 years since the patient’s cancer was in active treatment, should we only bill the office visit?

Thanks for any and all help!!!

RHutchens
GKENT