I am getting a ton of denials from Medicare for colonoscopies performed with the indication Z80.0-Family history of colon cancer. The remark code is: 49- These are non covered services because this is a routine exam or screening procedure done in conjunction with a routine exam. It denies patients that we have not billed an office exam with any routine indications. I called Medicare and the rep just kept saying it was not on their list to support medical necessity. I haven't had this issue until recently. They deny any claim with the code; polyp removal or no polyp removal.

Anyone else having this issue or know the fix?