Wiki Screening Colonoscopy denials with PR-49

[flrockmom]

Is anyone else currently getting a denial from Medicare PR-49 for screening colonoscopies? We haven't change the way we are billing and just recently our local MAC in FL is now denying and will not give us any guidance as to why other than to look at the denial code.

 

[rendonl]

Palmetto MAC as well

We are having the same issue with Z80.** (family history of) and have not been able to find a solution. Please keep me posted if you hear anything.

 

[missyah20]

Has anyone had any luck with these denials? We are seeing the same thing.