tci Outpatient Facility Coding Alert - 2018 Issue 2

Reader Question: Distinguish Between Screening vs. Diagnostic Colonoscopy

Question: Can you explain the difference between a screening colonoscopy versus a diagnostic colonoscopy? California Subscriber Answer: Physicians order screening colonoscopies in the absence of signs or symptoms of disease to identify colorectal cancer (CRC) or polyps. Insurers define who is eligible for a covered screening based on risk groups. Medicare typically covers screening colonoscopies once every 10 years beginning at age 50 for asymptomatic beneficiaries at "normal risk" of developing CRC. Medicare covers screening colonoscopy once every two years, regardless of age, for "high risk" patients demonstrating one of the following situations: A close relative (sibling, parent, or...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Outpatient Facility Coding Alert +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!