r/HospitalBills 10d ago

Looking for help with preventative colonoscopy screening

So I visited my PCP looking for a referral due to an extensive family history of Colon Cancer (both of my parents were screened and had polyps removed, my Paternal aunt was diagnosed with stage 3 colon cancer at age 40 and died shortly after. Other paternal aunt had polyps removed too. So I pushed my doctor with this information to give a referral for a preventative screening colonoscopy at an earlier age. Was referred to the GI place and did a consultation there. I was able to get a pre auth from insurance but it was mis-coded as a Diagnostic. I was hoping that due to my family history that I could get this as a preventative screening so I could have peace of mind. A friend of my girlfriend's had recently passed away from surprise colon cancer too in her early 40s so I was extremely on edge. I could use any advice or help with writing a letter to my PCP and the GI Doc to help get this coded as a preventative screen even though I am only 36, I feel like I am a high-risk individual due to my familiy history.

Any help would be appreciated with how I can write a letter or what I can say to help my case in getting this coded correctly for insurance. Thanks!

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u/throwawayeverynight 9d ago

See it as this,your peace of mind comes with a dollar amount…. If you ask me well worth it specially if nothing was found. The Dr coded it correctly.