tci Part B Insider - 2004 Issue 3

Colonoscopies: 3 Examples Clarify Difference Between Screening And Diagnostic

Differences among 45378, G0105 and G0121 can be trickyKeeping straight the differences among diagnostic (45378), high-risk screening ( G0105 ) and non-high-risk screening (G0121) colonoscopies can be a nightmare.  In an effort to keep providers on the right track, Part B carrier Cahaba GBA published examples of different circumstances in which you'd bill each code. 1. A patient comes in who is asymptomatic and not at high risk for colorectal cancer. During the colonoscopy, the physician makes an incidental finding that the patient has diverticuli. You should still bill this as G0121. 2. An asymptomatic patient...

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