AMA CPT® Assistant - 2003 Issue 10 (October)

Medicare Coding of Incomplete Screening Colonoscopies (October 2003)

October 2003 page 9 Coding Brief:Medicare Coding of Incomplete Screening Colonoscopies According to an August 1, 2003, Program Memorandum (Transmittal AB-03-114), Medicare covers colorectal cancer screening test/procedures for the early detection of colorectal cancer when coverage conditions are met. Among the screening procedures covered are screening colonoscopies: G0105, Colorectal cancer screening; colonoscopy on individual at high risk; and G0121, Colorectal screening; colonoscopy on individual not meeting criteria for high risk. Coverage of these services is subject to certain frequency limitations. In some instances, a provider may begin a screening colonoscopy, but, because of extenuating circumstances, be unable to complete...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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