tci General Surgery Coding Alert - 2001 Issue 6
Screening Colonoscopies Now Covered, but ABN Still Wise
As of July 1, 2001, Medicare will cover screening colonoscopies every 10 years for patients not at high risk for colorectal cancer. In a Feb. 8 transmittal (No. 1697, change request 1536), HCFA announced that section 4180.2-4180.9 of the Medicare Carriers Manual would be changed to indicate that HCPCS code G0121 (colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk) should no longer be a noncovered service.Note: Individuals who have had a covered flexible sigmoidoscopy (G0104) must wait four years before undergoing a screening colonoscopy. Until now, Medicare only covered screening colonoscopies (once...
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