Case 1: Patient came in for HIV pre-exposure follow up visit and was coded with Z20.6 and CPT 99401 with 15 min of counseling, but was rejected by BCBS (Blue Cross Blue Shield)
I have changed the diagnosis to Z11.4, still got rejected by BCBS stating 16-16-LACKS INFO NEEDED FOR ADJUDICATION and M51-M51-INCOMPL/INVALID PX CODES.
Could any one suggest the right diagnosis code???
Case 2: Also, have another scenario wherein patient came in for travel consult, with malaria prophylaxis, and was counseled for 15 minutes.
Dx: Z41.8 was assigned, but got rejected from BCBS (Blue Cross Blue Shield)
Please suggest me the right diagnosis code???