tci Medicare Compliance & Reimbursement - 2010 Issue 24

Screening Vs. Diagnostic: Base Your Colonoscopy Exam Coding on Diagnosis

G codes are handy if the screening doesn't turn diagnostic. You know the deal: If your physician performs colonoscopy screening on a patient, you must always link a "screening" diagnosis to the procedure, even if the physician discovers any abnormality in the process. In short, your physician's findings will dictate how you will tackle your colonoscopy coding. Here are some essential ideas on what to expect. 1. Put G Codes into Good Use for Screenings You have 2 G codes as an option when reporting colonoscopy screenings for Medicare-eligible patients: G0105 (Colorectal cancer screening;colonoscopy on individual at high...

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