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Wesley Posted Tue 22nd of December, 2015 13:13:36 PM

We received a denial from Humana statin "The diagnosis is inconsistent with the procedure.". we billed 11981 Dx Z30.49. Is this a correct dx for 11981?.

SuperCoder Answered Wed 23rd of December, 2015 08:35:03 AM

Thanks for the query

Dx Z30.49 is incorrect with CPT 11981.

Wesley Posted Mon 28th of December, 2015 10:17:28 AM

We put the 11981 code under the Super Coder cross walk and it was one of the billable dx code.

SuperCoder Answered Tue 29th of December, 2015 08:12:53 AM

Thanks for the Query

Please let me know the diagnosis for which the provider performed 11981 so that we can suggest a payable diagnosis code for this cpt.

Wesley Posted Thu 31st of December, 2015 10:01:54 AM


Wesley Posted Thu 31st of December, 2015 10:01:57 AM


SuperCoder Answered Mon 04th of January, 2016 05:16:23 AM

Thanks for the Query

Z30.49 describe Encounter for surveillance of other contraceptives. Please confirm that on patient's record is their any other problem listed (diagnosis for which surveillance of other contraceptive was performed) or not because dx Z30.49 is not payable with CPT 11981.

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