tci Part B Insider - 2015 Issue 41

Physician Notes: This Payer Identifies Issue with ICD-10 Code Z86.010

Plus: Massachusetts ob-gyn accused of trading free meals and cash for prescribing medications. Just one month after the ICD-10 system went into effect, some payers are slowly identifying claims processing issues, and correcting them on the spot to help your claims continue to flow. Case in point: Cahaba GBA, a Part B MAC, issued an announcement on Nov. 2 indicating that CMS has been inappropriately denying colorectal screening tests billed with G0105 (Colorectal cancer screening; colonoscopy on individual at high risk) and ICD-10 code Z86.010 (Personal history of colonic polyps). The MAC noted that CMS is taking appropriate...

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