tci Outpatient Facility Coding Alert - 2019 Issue Q3

Reader Question: Use This Modifier for Transgender Screening Mammograms

Question: How do I code for a transgender patient receiving a screening mammogram? We have a patient listed as female on our medical records, but there’s a discrepancy with the insurance company, which lists the patient as male. The claim was denied due to gender mismatch. Oklahoma Subscriber Answer: The Centers for Medicare and Medicaid Services (CMS) cleared this up in MLN Matters® Number: MM6638. Specifically, CMS states that this MLN Matters article is “based on Change Request (CR) 6638 which provides instructions for completing Part A and Part B claims for gender specific services for beneficiaries...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?