mystressmegs31
New
Scenario: Patient came into urgent care to establish primary care. Chief complaint is Establishing pcp. (I work at a facility that offers pain management, physical therapy, urgent care and primary care).
Primary code is Z00.00 followed by an F- code, Z-code and J-Code.
Insurance denied claim as being a routine visit. (INS: Healthscope).
Doctor orders bloodwork, discusses weight management, and report to ER for any signs of chest pain, shortness of breath, sign of distress and stroke.
I feel this is getting denied because the Z-code is listed first. If I was to rearrange the order, would it be paid?
And I remember I got told this but I can't remember the finer details it's been too long, but is there a specific order to put dx codes so they will get paid? If I remember from what I was told, Z-codes generally go last as most insurance companies will not pay if the primary is a Z-code.
Can someone please help me understand this? (Also, I don't code the bills out, the doctor/physician does).
Primary code is Z00.00 followed by an F- code, Z-code and J-Code.
Insurance denied claim as being a routine visit. (INS: Healthscope).
Doctor orders bloodwork, discusses weight management, and report to ER for any signs of chest pain, shortness of breath, sign of distress and stroke.
I feel this is getting denied because the Z-code is listed first. If I was to rearrange the order, would it be paid?
And I remember I got told this but I can't remember the finer details it's been too long, but is there a specific order to put dx codes so they will get paid? If I remember from what I was told, Z-codes generally go last as most insurance companies will not pay if the primary is a Z-code.
Can someone please help me understand this? (Also, I don't code the bills out, the doctor/physician does).