decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 1 (January)
Ask Jo Ann
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Article Overview
This article is a short expert Q&A column for coding and billing staff. It discusses Medicare-related screening colon exam considerations, diagnosis coding for a history of colonic polyps, and how provider documentation affects coding when malignancy is suspected. The piece is most relevant to coders, billers, and compliance staff working with gastroenterology and Medicare claims.
Why This Topic Matters
It helps readers understand the kind of coding and documentation issues that can arise when follow-up colon evaluation is performed after polyps are found and when a provider documents a lesion as malignant before pathology is available.
What You Will Learn
- How a Medicare screening colon exam question is framed in a coding context
- How prior polyp history can affect diagnosis coding discussions
- How provider documentation relates to coding a suspected malignancy before pathology is reported
- How payer and secondary coverage considerations can come up in a billing question
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Gastroenterology practice staff
- Revenue cycle professionals
Codes Discussed
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