tci General Surgery Coding Alert - 2013 Issue 8

You Be the Coder: List History for Colonoscopy Diagnosis

Question: We had a patient who had a colonoscopy for personal history of colon cancer (V10.05), but the patient’s insurance plan doesn’t recognize that code for screening benefits, so the diagnostic benefit applied and the patient had to pay out of pocket expenses. Is there anything we can do to avoid this? Texas Subscriber Answer: Regardless of findings, it is essential to stick to V10.05 (Personal history of malignant neoplasm of large intestine) when the colonoscopy is ordered because the patient has had a history of colon cancer. If you’re billing Medicare, you should...

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