When a patient comes into our family practice for their annual exam we order a screening chest xray. We will use code Z13.83 for a screening and recently insurance companies are denying and stating that a screening diagnosis can not be used for a preventative service since August 31, 2016 per AMA. I have asked other offices and they are stumped too. So, what dx would be used for a screening chest xray if we can not use Z13.83?