Hello, I just joined AAPC to start training for CPC certification . I have a question that has been bugging me that I can’t seem to find an answer to and it may be a dumb one but I have to ask..
I work for an oral surgeons office and went to a AAOMS coding course who said we could use the Z03.89 dx for a non medicare patient and if a patient has the 3 criteria’s met: suspected condition, no signs or symptoms of suspected condition and after study, patient does not have the suspected condition. My question is what if its a medicare patient, I know they will deny this diagnosis is there any other to bill? I can’t bill the suspected condition alone do I use the Z03.89 code and let it deny and patient is responsible?
I work for an oral surgeons office and went to a AAOMS coding course who said we could use the Z03.89 dx for a non medicare patient and if a patient has the 3 criteria’s met: suspected condition, no signs or symptoms of suspected condition and after study, patient does not have the suspected condition. My question is what if its a medicare patient, I know they will deny this diagnosis is there any other to bill? I can’t bill the suspected condition alone do I use the Z03.89 code and let it deny and patient is responsible?
Thanks for any help,
Sandy