tci E/M Coding Alert - 2023 Issue Q2

You Be the Coder: Beware Reporting Screening Dx Code During E/M Encounter

Question: It looks like my providers recently started selecting their own ICD-10-CM codes. They are choosing screening codes, such as Z12.31 and Z12.11 as diagnosis codes with their evaluation and management (E/M) visits when they order the tests. These are tests that will be done at external facilities at a later date. We do not perform these in the office. Should we be reporting these codes? AAPC Forum Participant Answer: No. Report screening codes such as Z12.31 (Encounter for screening mammogram for malignant neoplasm of breast) and Z12.11 (Encounter for screening for malignant neoplasm of...

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