Update on Lab Codes Denying for Edit 00180
November 30, 2015Lab codes are denying for Edit 00180-INVALID DIAGNOSIS FOR LAB CODE when diagnosis Z00.00 (Encounter for general adult medical examination without abnormal findings) is the only diagnosis on the claim. These are valid denials. A diagnosis code supporting the medical necessity of this service must be submitted on the claim. Providers should re-file the claim and include a diagnosis code supporting medical necessity.