We have recently been advised by a carrier in Arizona (Medicaid) that the diagnosis code Z12.11 cannot be billed as the primary diagnosis. They stated that this goes for CMS or any other insurance carrier. They are stating that if they pay it on their end, then it is going against the guidelines that CMS has set forth. They are telling us if we have anything that contradicts this statement please forward it to them.
I am not aware of this guideline. We submit to other carriers using the Z12.11 as primary and don't have any issues with payment. Can anyone direct me or provide information regarding this?
Anyone submitting anesthesia claims for colonoscopies can you tell me what position are you placing the Z12.11 diagnosis in when it is applicable?
I am not aware of this guideline. We submit to other carriers using the Z12.11 as primary and don't have any issues with payment. Can anyone direct me or provide information regarding this?
Anyone submitting anesthesia claims for colonoscopies can you tell me what position are you placing the Z12.11 diagnosis in when it is applicable?