Wiki BRCA E&M denial

VickieArballo

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I am billing an E&M service for a new patient who is only being seen in the office to consult with our surgeon for options on treatment for +BRCA 1&2 status. The patient has no symptoms. I billed CPT 99203 with ICD-10 codes 1) Z71.2 2) Z15.01 3) Z15.09

Insurance is denying claim because they claim that the primary diagnosis code is not allowed to be billed as primary. I would appreciate any help with reviewing this service and advising me if there is a better primary diagnosis code.

Vickie
 
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