Curious to know, and where to find a policy on coding for Anesthesia for EGD and Colonoscopy same day when the patient is having a screening colonoscopy and a diagnostic EGD. I have been coding 00813 w/Z12.11 and the diagnostic code for the EGD w/any co-morbidities the patient may have for MAC cases. BCBS is partially paying the claim. The patients are being told that the claim needs to be billed as screening colonoscopy in order for it to be paid with no patient responsibility as they have a benefit for screening.

Can we bill in this situation a 00812 and a 00731 or does it have to be the 00813. Is anyone else having this issue with their claims?

Thanks in advance!

— Valerie