tci Part B Insider - 2006 Issue 7

GENERAL SURGERY: Quick Tips For Screening Colonoscopies That Turn Up Trouble

Include the screening "V" code, but not in the primary positionDon't let confusion over the rules for diagnostic colonoscopies jeopardize your rightful reimbursement.Many coders don't know what to do when a physician is performing a screening colonoscopy and finds a polyp or other problem. They risk denials if they bill for a diagnostic colonoscopy using a screening ICD-9 code, say experts. Centers for Medicare & Medicaid Services officials muddied the waters last month when they said you should still bill for a screening colonoscopy even after finding a polyp. (See PBI, Vol. 7, No. 4.)Clarification: Now CMS...

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