AHA Coding Clinic® for HCPCS - 2022 Quarter 4; Ask the Editor
Clarification 1
Coding Clinic for HCPCS Second Quarter 2018, Page 4, stated that a colonoscopy performed following a positive Cologuard® screening test, would be considered a diagnostic exam and not a screening. However, the answer seemed to indicate a screening code should be assigned. Since the follow-up colonoscopy was considered diagnostic, will you please clarify why screening colonoscopy codes were advised for the diagnostic exam? ...
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Article Overview
This article explains a clarification issued by the Central Office on HCPCS regarding earlier Coding Clinic guidance tied to colorectal cancer screening. It is relevant for coders, billing staff, and compliance teams who work with colonoscopy-related screening and diagnostic scenarios and need to understand the scope of the prior advice and later evolution in colorectal cancer screening coding guidance.
Why This Topic Matters
The article addresses confusion created by prior published guidance and helps readers interpret how colorectal cancer screening discussions in Coding Clinic should be read in context. It matters for accurate code assignment, communication with payers, and consistency in reporting screening-related colonoscopy services.
What You Will Learn
- The context of a clarification related to earlier colorectal cancer screening coding guidance.
- How the article frames the distinction between prior advice and the later evolution of screening coding information.
- The role of the Central Office on HCPCS in issuing the clarification.
- The general subject matter surrounding colonoscopy coding after a positive colorectal cancer screening test.
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle teams
- Compliance professionals
- Health information management professionals
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