I was wondering if I could get help on a problem we are having with GI and CRNA charges not matching up there for they are not getting paid. I do the coding for GI Physician and hospital coding and the CRNA charges are being coded from an outside vendor. A problem we are running into is a patient came in for instance 3 years ago and had a rectal polyp removed, my Dr puts patient on a 3 year recall to come and get another colonoscopy done, he also puts indication for colon and on his H&P reason for patient coming in as History of polyps. I as the GI coder am putting the Z86.010 history of polyps for reason patient is coming in as well. The CRNA coder is putting Z12.11 as the reason because it was a rectal polyp found in the past and not a colon polyp. Does anyone have any input or resources on this, I have a meeting next week to verify what should be happening.

Thanks
Jenny