Gastroenterology Coding Alert

Category III Codes:

Turn To 0226T, 0227T To Describe High Resolution Anoscopy For Screening

Your claims could get a boost from these placement codes.If your gastroenterologist performs a high resolution anoscopy (HRA) for screening high risk patients for anal cancers and dysplasia, you'll turn to Category III codes in the CPT® manual to report the services. Read on for our tips on how to apply these codes for HRA reimbursement.Identify Risk Factors to Support NecessityPatients may be at high risk for forms of anal dysplasia and cancer, even though they do not have any presenting signs and symptoms. For this purpose, some gastroenterologists have begun the use of high resolution anoscopy to screen high risk patients for early detection of any anal lesions such as dysplasia or cancer.High risk patients can include those needing special screening for neoplasms due to a personal history or family history, HIV (042, Human immunodeficiency virus (HIV) disease), women or men with human papilloma virus (HPV) related conditions (079.4, [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Gastroenterology Coding Alert

View All