PT presented for screening colonoscopy, procedure turned out normal. Colonoscopy CPT will be billed as G0121 with Dx: Z12.11 or PT with history of colon polyps, procedure turned out normal. Colonoscopy CPT will be billed as G0105 with Dx: Z86.010. Medicare started deny claim " This is a non-covered service because it is a routine/preventative procedure" ??? Anyone have the same denials for Medicare patients in Florida? I checked LCDs for Medicare (First Coast Service Options) in Florida but I don’t find any changes. Please advised, Thank you so much.
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