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I'm helping a fellow coder who has been receiving denials for G0472. Humana Medicare has been paying but Medicare has been denying AM130 and CAS-50. She has verified age appropriate (51-71) and the Hep C screening has not been done before. She is using dx Z72.89 exclusively since this is the screening. I didn't see any LCD/NCD or any NCCI edits that would apply except the 86803 (which isn't being billed). I have also checked Medicare preventative services under a few of my patients and G0472 isn't even on the list for the preventative. Any help or suggestions would be appreciated!
Thanks.
Thanks.