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77067-52, LT, Z85.3 (hx of breast CA), Z90.11 (absence of right breast)
Is this correct? This is how we coded them, and recently we have been getting denials. Please help!! 
I feel like it might be reasonable to infer that they are screening for diabetes and lipid disorders, and to use Z13.1 and Z13.220, but some of my workmates disagree. What are your thoughts? And if you feel it’s inappropriate, what code would you use?
And before anyone asks, directly asking providers not to use the BMI code isn’t an option, unfortunately. It’s a VERY large organization, and I don’t have direct contact with the providers. I would have to go through each of the coding consultants linked to each facility, and the providers don’t always listen to feedback anyway.
Thank you so much in advance for any input you can give.
Here is what you need to know about recent changes that will help you differentiate the two. The past few years have brought changes in CPT® and HCPCS Level II coding for presumptive toxicology screenings (screens) and definitive confirmations (confirms). Here’s what providers, billers, coders, and auditors need to know about these developments. Research and […]
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