ICD 10 Coding Alert
This Payer Identifies Issue with ICD-10 Code Z86.010
Here’s why you don’t need to take any action.
Just one month after the ICD-10 system went into effect, some payers are slowly identifying claims processing issues, and correcting them on the spot to help your claims continue to flow.
Case in point: Cahaba GBA, a Part B MAC, issued an announcement on Nov. 2 indicating that CMS has been inappropriately denying colorectal screening tests billed with G0105 (Colorectal cancer screening; colonoscopy on individual at high risk) and ICD-10 code Z86.010 (Personal history of colonic polyps). The MAC noted that CMS is taking appropriate action to correct the denials “and appropriate payment will be made for these procedures within 45 days.”
Practices don’t need to take any action to get these claims paid, since the insurers will automatically reprocess claims denied for this reason, Cahaba said.
Resource: To read more on this issue, visit www.cahabagba.com/news/colorectal-cancer-screening-claims-processing-issue.http://www.cahabagba.com/news/colorectal-cancer-screening-claims-processing-issue.
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