tci Part B Insider - 2004 Issue 3

When Is a Screening Colonoscopy High-Risk?

Keep track of anniversaries to avoid low-risk screening denialsWhen can you bill for a high-risk screening colonoscopy (G0105) instead of a regular screening colonoscopy ( G0121 )?  There are certain circumstances that Medicare considers high-risk when it comes to colon cancer. They include:   a close relative, such as sibling, parent or child, has had colorectal cancer or an adenomatous polyp    a family history of familial adenomatous polyposis    a family history of hereditary nonpolyposis colorectal cancer   a personal history of adenatomous polyps   a personal history of colorectal cancer   inflammatory bowel disease...

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