Wiki Colon pre screening visit

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livininthegray

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If a patient comes in for a pre screening colon visit (the insurance is not Medicare) and the Dr. also notes and codes for Aids along with the V76.51, could you move the Aids dx to the first postion as a modifing factor for high risk and bill the visit?


S. Haller CPC
 
If the purpose of the visit is only for 'colon screening' and not to treat any other symtomps you should use V76.51 as your primary dx...
 
The reason for the visit was just the screening, but in the process of the visit the patient lets the Dr. know about the Aids and now the Dr. feels that that put the patient at high risk for the colonoscopy. A patient with Hypertension or Diabetes has a higher risk, so wouldn't the Aids fall into that same type of risk factor?


S. Haller CPC
 
Where there signs or symptoms that caused the PT to present for colonoscopy? Or purely for a screen?

If no symptoms of concern (rectal bleeding, abd.pain, diarrhea etc) it would still fall in the Screening category.
 
I wonder if you are asking if since the pt has AIDS if they become a high risk screening (G0121) as opposed to an average risk screening(G0105)? The answer is no to that question if it's what you are asking. High risk/average risk is determined by risk of the pt having colon cancer, ie personal or immediate family hx of colon polyps(high) or secondary family hx of colon polyps or general age (average).

If this is not what you are asking, please forget I've said anything.

If you are just asking about positioning of dx, the screening dx would go first.
 
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