jlcheritage
Networker
I am hoping that someone can help me with this. I have an account that is being denied payment because Aetna is stating that the patient bill for reconstructive surgery of the breast cannot be paid because of genetic changes /sex change on the patient. I called the physician and there was no gender change on this patient. the patient has had her uterus, ovaries and breasts removed becuase she was BRCA+.
I coded the Z15.01 dx in the last position on the claim. should it be in the first position. what do we do to make Aetna understand that this patient did not undergo a gender change.
I coded the Z15.01 dx in the last position on the claim. should it be in the first position. what do we do to make Aetna understand that this patient did not undergo a gender change.