Wiki Z00.00 denied for wellness labs

[dodietenney@yahoo.com]

If a member is seen for their wellness visit and sent for Lab work what code would be used? Z00.00 is being denied

 

[mitchellde]

You need to use screen Z codes for those that are screening, or drug monitoring Z code for those are ordered due to medications.

 

[chasgiv4]

Did the last response help you at all? I am using the screening codes and being denied. Z00.00 works but I'm told they will probably result in a refund request during an audit.

 

[mitchellde]

Not all screenings are going to be covered as preventive. You may want to get a list of covered screening labs.