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Gastroenterology Coding Alert

Colonoscopy Screening:

G0105, 45378: Apply This Coding Combo For Your High-Risk Patients

Published on Wed Jan 19, 2011

Regardless of findings, stick to V10.05 to describe condition.Accurately reporting colorectal cancer screenings on patients at high risk for the disease can hinge on fine points like assigning the right V code. Examine the following scenario sent in by Dawn Duchesney of DeMasi Digestive Health, Venice, FL and the coding advice that follows to finesse these claims -- and recoup your deserved reimbursement for these services:Scenario: Our patient has a personal history of colon cancer, having undergone treatment for colon cancer six years ago, but she is currently experiencing no symptoms. Her 2006 colonoscopy came out clear, and so did her recent one performed about a month ago. We billed 45378 for the procedure, and V10.05 for the diagnosis. However, the patient called complaining we should've billed the procedure as routine since her last two colonoscopies were clean. How should we resolve this?Select G0105 Or 45378, But Get The History [...]
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