Anyone experiencing denials for Z80.0 with BCBS? I’ve run into several plans that are denying Z80.0 (family hx colon cancer) as an invalid ICD10 code for high risk screening colonoscopy. I’ve talked with provider services, reported the issue and believe since Oct 1st they have an error in their clinical edits. Just curious if other states are encountering similar denials – it’s not all the plans, just a couple to date. G0105 Z80.0 denies and per the reps at BCBS, they told me their database says Z80.0 is not valid, to use another code. I’ve checked Z80.0 and it did not change or get replaced with the 2018 revisions to ICD10. Interested in any input. thx!
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