tci Part B Insider - 2012 Issue 4

Reader Question: Know What Constitutes 'High Risk'

Question: We have a 39-year-old patient who is asking for a routine screening of the colon, as some of his cousins and his uncle have been diagnosed with colorectal cancer. Can this be billed under V16.0? Also, can you let me know the criteria for high risk screening under V76.51?Answer: For the screening to be billed under V16.0 (Family history of malignant neoplasm of gastrointestinal tract), the person should have a family history of first degree which means that an immediate relative such as his parents, his siblings or his children. In this situation, your...

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