Gastroenterology Coding Alert

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Do You Know the ICD-9 Code for This Referral?

Question: What is the diagnosis code for "positive ColoSure." A patient was sent to our practice for a colonoscopy with this given as the indication for the procedure. Kansas Subscriber Answer: If your gastroenterologist does not list a definitive finding after performing the colonoscopy, you may link V76.51 (Special screening for malignant neoplasms; colon) to 45378 (Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen[s] by brushing or washing, with or without colon decompression [separate procedure]). However, if your physician does find and treat a problem, such as a rectal polyp (569.0, Anal and rectal polyp), then use that for your first-listed diagnosis. ColoSure is a screening test for colon cancer. Like a fecal occult blood test, ColoSure tests a patient's feces, but instead of looking for hidden blood, the test seeks cells that have DNA mutations linked to colorectal cancer. Reminder: If your patient has [...]
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