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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