Shawna Paul
Networker
Need clarification please.
Sept. 2010 patient has annual mammogram with findings of breast density and follow up in 6 months. We coded V76.12 and 611.79.
Nov. 2010 patient has repeat 6 month followup with breast density and followup in 6 months again. We coded 611.79 and V76.11
May 2011 patient has 6 month followup again still with breast density and request for followup in 6 months again. We coded 611.79 and V76.11
Does this look appropriate or are we missing something. The insurance is telling the patient they won't pay for the May 2011 visit because we coded it incorrectly.
Thanks in advance for any help.
Shawna
Sept. 2010 patient has annual mammogram with findings of breast density and follow up in 6 months. We coded V76.12 and 611.79.
Nov. 2010 patient has repeat 6 month followup with breast density and followup in 6 months again. We coded 611.79 and V76.11
May 2011 patient has 6 month followup again still with breast density and request for followup in 6 months again. We coded 611.79 and V76.11
Does this look appropriate or are we missing something. The insurance is telling the patient they won't pay for the May 2011 visit because we coded it incorrectly.
Thanks in advance for any help.
Shawna