tci Medicare Compliance & Reimbursement - 2006 Issue 22

GASTROENTEROLOGISTS: Your Carrier Will Have Clearer Answers For Coding Certain Screenings Than CMS

CMS officials start backtracking on February clarification.If you thought your doubt and confusion about screening colonoscopy billing was a thing of the past--think again.Clarification: Back in February, CMS officials clarified that when a screening colonoscopy finds a polyp, you should bill using the polyp diagnosis, not the screening "V" code. But now CMS officials are distancing themselves from that instruction. Reversal: Officials now point to language in the ICD-9 diagnosis coding guidelines, which state that you should still use the screening diagnosis even if you find a problem during a screening exam. "Should a condition be discovered...

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