dorinda05
Networker
How would one bill Medicare for DNA testing paperwork? We billed 99213 w/Z80.9 but was denied as non-covered.
Patient is established. CC, PFSH, HPI( pt brought in paper to test for cancer screening due to family hx of significant cancer at early age) all completed. No exam provided. A/P states "discussed risk benefit of having cancer screening performed, pt aware this will not catch all possible cancers and that a positive result does not mean he will def develope cancer. Will follow up with me in one months time to review results at which time we may need to bring a genetic counselor in. All questions were answered to the best of my ability, pt would like to proceed with the testing."
This is the physician documentation...
Patient is established. CC, PFSH, HPI( pt brought in paper to test for cancer screening due to family hx of significant cancer at early age) all completed. No exam provided. A/P states "discussed risk benefit of having cancer screening performed, pt aware this will not catch all possible cancers and that a positive result does not mean he will def develope cancer. Will follow up with me in one months time to review results at which time we may need to bring a genetic counselor in. All questions were answered to the best of my ability, pt would like to proceed with the testing."
This is the physician documentation...