• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Colonoscopy -know this has probably

Create Wiki
T

torihamill

Contributor
Messages
21
Best answers
0
I know this has probably come up several times, but here goes again.
A pt came in Aug 2011 for colon w/biopsy 45380 at the age of 62 with UHC insurance and dx for diverticulitis. In 2008 he also had 45385 with UHC for dx blood in stool.
He is now 67 and has Medicare and has no symptoms. The client wants to bill for a routine colon to Medicare. He has not had any routine screenings within 10 years.

Can we bill a routine colon for this ptnt?

Thanks.
 
I would use G0105 screening colonoscopy for Medicare with Z87.19 history of digestive disease for the dx.
 
If he had a 45385 that means he had a polyp. Therefore the correct diagnosis is Z86.010 and the CPT would be a G0105 unless something was found during this colonoscopy.
 
You must log in or register to reply here.
Top