tci General Surgery Coding Alert - 2008 Issue 7

Reader Questions: Sigmoidoscopy May Affect Screening Eligibility

Question: In General Surgery Coding Alert Vol. 10, No. 6, pp. 43-46, you advised that Medicare will cover a colorectal cancer screen once every 10 years for average-risk patients age 50 or older. I have heard that there are exceptions to this rule for patients who have received a previous sigmoidoscopy. Is this correct? New Jersey Subscriber Answer: A previous sigmoidoscopy may change a patient's eligibility for a Medicare-covered screening colonoscopy. If your patient has had a Medicare-covered cancer screening via flexible sigmoidoscopy (G0104, Colorectal cancer screening; flexible sigmoidoscopy) within the last 48 months, he is not eligible for...

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