tci General Surgery Coding Alert - 2005 Issue 5

Diagnostic and Screening Colonoscopies Call for Different Coding Strategies

V code diagnoses provide justification for screening examsWhen choosing a code for a screening colonoscopy that becomes "diagnostic" by the end of the patient encounter, you should stick with 45380, coding experts say. Medicare Requires Screening G Codes For Medicare patients, you should report G0121 (Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk) for an average-risk patient receiving a screening colonoscopy, or G0105 (Colorectal cancer screening; colonoscopy on individual at high risk) for a high-risk patient, says Julia Covington, billing/collections office manager for Karen L. Woods, MD, in Houston.Tip: Follow Medicare's diagnosis-code lead and...

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