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1 May 2016 This month's column addresses coding and reimbursement questions regarding a procedure performed by many general surgeons: colonoscopy. Coding issues. Much of the confusion with respect to coding for colonoscopy arises from the dichotomy between screening and diagnostic colonoscopy.
16 Feb 2013 Rationale: This is a Medicare patient with no personal or family history of gastrointestinal disease; breast cancer is not considered an indication under Medicare guidelines. The patient is classified as an average risk screening. Screening and surveillance colonoscopy coding is driven by the diagnosis and
1 Apr 2010 Here are some guidelines for the screening colonoscopy. Verify patient benefits and secure preauthorization. This usually requires two different phone calls to the payor. Ask what benefits the patient has with a diagnosis code of V76.51 for screening versus a diagnosis code of 211.3. Usually the provider
23 Jun 2017 Coding colonoscopy records has always been a challenge when it comes to reporting the primary diagnosis for the account. All colonoscopy procedures As always, be sure to reference any facility specific coding guidelines to determine if there is any specific guidance to follow. References: AHA Coding
To report screening colonoscopy on a patient not considered high risk for colorectal cancer, use HCPCS code G0121 and diagnosis code V76.51 (Special screening for malignant neoplasm of the colon).
Colonoscopy Surgical Coding Guidelines. Screening Colonoscopy – Average Risk – Procedure Code G0105 only, Diagnosis. Code V76.51 only. A screening colonoscopy is for average risk patients and is covered once every 10 years. A patient must meet the following criteria to be considered for a screening colonoscopy:.
28 Aug 2015 I have read most of the posts for screening vs diagnostic colonoscopy coding, but I don't believe I read one with the conundrum that I have. The perfo. how you would handle this case? Do you accept the additional documentation and change coding or do you abide by the screening coding guidelines?
26 Sep 2013 When reporting a screening colonoscopy on a non-Medicare patient, report CPT code 45378 and use the appropriate screening diagnosis code.
26 Jul 2017 Procedure code: 45378 Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or Rationale: The patient is considered high risk per Medicare guidelines because he has a history of colon polyps, making G0105 the appropriate screening code.
     

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