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Sandeep Posted Thu 16th of November, 2017 01:05:42 AM
A screening colonoscopy is performed and pathologist receives polyp sample for pathology workup. Can the pathologist bill Z12.11 as primary ICD code along with CPT code 88305. Please provide a reference for your answer.
SuperCoder Answered Fri 17th of November, 2017 01:22:58 AM

Hi,

Pathologist can bill Z12.11 as PDx. But, if there are any findings like polyp it would always be advised to bill that as PDx. If no other findings are there than you can bill Z12.11.

Hope that helps!

https://www.premera.com/medicalpolicies/10.01.519.pdf

 

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