Wiki What ICD 10 code to use for routine colonoscopy for transplant patient with Medicare?

[patdow]

We have a post transplant patient who had a colonoscopy in 2016. We used Z12.11 and Medicare paid. Patient did not have any other dx findings on report. Our transplant patients need to have routine colonoscopies every 5 years. Medicare denied her recent claim with Z12.11 and G0121. What ICD 10 code and CPT code should I use to get Medicare to pay?

 

[OpenClaims]

Is the patient considered to be high risk for colon cancer and/or post-colon cancer? G0105 is Colorectal cancer screening; colonoscopy on individual at high risk.
I would suggest using:
Z12.11 Colon Cancer Screening
Z94.82 Intestine Transplant Status

 

[patdow]

Is the patient considered to be high risk for colon cancer and/or post-colon cancer? G0105 is Colorectal cancer screening; colonoscopy on individual at high risk.
I would suggest using:
Z12.11 Colon Cancer Screening
Z94.82 Intestine Transplant Status

Yes, the patient is high risk. Thank you for your suggestion. I’ll try this.