I’m looking for a dx code for screening of the husband of a patient who tested positive for CF carrier status.
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Tag Archives: Screening
Urine Drug Screening – CPT 80305 & 80306
Hello All,
I have an issue on billing the UDS code (80305 or 80306) to Florida Blue. I have been advised that these 2 codes cannot be billed to Florida Blue. We are performing Urine Drug Screens (Point of Service) so we peel the cup and we gather the results. Please let me what is the appropriate code to be used for this.
Psychological Screening
We have a clinical psychologist who performs screenings. Patients are referred by a physician. Patients are given the screenings and they fill them out and return to the office. The psychologist then generates a report and reports it to the patient and the referring physician. This is not a fact to face meeting. I am looking for the most accurate CPT code for this screening. 96130 seems appropriate since I believe this would be considered part of a diagnostic testing service. Anyone with experience with screenings please jump in. Thanks
Depression screening on annual wellness visit
I read in one of our AAPC magazines that an annual depression screening, G0444, cannot be billed on
Welcome to Medicare and Initial annual wellness visits
because it is included. However, we CAN bill it on subsequent wellness visits.
Welcome to Medicare and Initial annual wellness visits
because it is included. However, we CAN bill it on subsequent wellness visits.
We recently had a meeting at the office I work at and we were told that we cannot bill this service at all.
Can anyone help me with this?
00813 – Screening Colonoscopy w/diagnostic EGD
Hello,
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
Drug Screening Presumptive and Definitive
I am reviewing the codes for presumptive and definitive drug testing. The CPT intro to the codes for drug assay, 80305-80307 and 80320-80377 says, "The material for drug class procedures may be any specimen type unless otherwise specified in the code descriptor (eg, urine, blood, oral fluid, meconium, hair)" Do any of the codes in this series define a blood specimen and not include the other materials?
In other words, how would I code for a presumptive or definitive drug test using blood when other specimens (urine, blood, oral fluid, meconium, hair) are not considered medically necessary.
Thanks
Jenny Berkshire, CPC, CPMA, CEMC, CGIC
Screening Colonoscopies for BCBS
Can anyone tell me if BCBS is now accepting the screening G codes? I billed a screening colonoscopy with Z12.11 and 45378, and they did not cover the cost as a screening. They told the patient that it needs to be billed as a screening for them to waive the copay.
Thank you in advance!
CPT coding for MOCA vs MMSE screening tests
I understand that the MMSE cannot be coded separately from the E&M code for the office visit, but can we use 96125 to code separately for the MOCA since it takes a little longer to administer the test to the patient and provides more detailed information about the patient’s condition? Would the provider need to document that they spent at least 31 minutes performing the test and interpreting the results?
Lung Cancer Screening Counseling and Annual Screening for Lung Cancer With Low Dose C
Do any private health insurance companies reimburse for these procedures?
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)
G0297 Low dose ct scan (ldct) for lung cancer screening
Colonoscopy screening; Z12.11
I recently coded a pathology report for a colonoscopy specimen (CPT 88305-26, DX Z12.11) which was denied payment by BCBS.
Pre-operative dx is: Screening for malignant neoplasm of colon.
In the report Gross description states:Specimen labeled, "colon polyp at 54cm." The specimen consist of tiny flecks of white material less than 1 mm. Collected in a tissue sack. All submitted.
Microscopic Description; Sample is crushed hemorrhagic colonic glands and stroma. There is no specific histological abnormality.
Final Pathological Diagnosis Large intestine, 54 cm, biopsy: No diagnostic alteration.
I’ve been asked by management to change the dx to D12.4 (Benign neoplasm of descending colon) and rebill the claim.
I don’t feel the diagnosis D12.4 is supported by the dictation in the report and am looking for some outside opinions.
Any input is welcome, thank you.