KLRuhe
Networker
I was just reading the posts from last week and it came really close to anwering a question I have. It stated that if there is a finding during a screening colonoscopy that CPT 45380 (for example) should be used with the screening diagnostic code first and the polyp (for example) diagnostic code second. This I understand.
However, the example screening code given (with finding) was V76.51. My question is: Is V12.72 considered a "screening" code. I believe it is. But my physicians and the endoscopy biller disagree. They believe if there was a previous finding that makes the patient "high risk" and that is why they are performing the colonoscopy, then V12.72 should not be considered "screening"and we should not have to follow Medicare guidelines for screening.
However, the example screening code given (with finding) was V76.51. My question is: Is V12.72 considered a "screening" code. I believe it is. But my physicians and the endoscopy biller disagree. They believe if there was a previous finding that makes the patient "high risk" and that is why they are performing the colonoscopy, then V12.72 should not be considered "screening"and we should not have to follow Medicare guidelines for screening.