Wiki EHP Denials for Z00.110 and Z00.111

[becky80]

We are receiving denials/retractions from EHP for billing 99381 or 99391 with Z00.110 and Z00.111 but these are the appropriate age codes.

 

[CBLENNIE]

So, all of the patients you use Z00.110 are under 8 days and the ones you are billing Z00.111 are 8-28 days old? If so, what is the denial reason or code you are receiving for these services?

 

[becky80]

Yes, the denial reason states the diagnosis is inconsistent with the procedure.