E/M Visits prior to Screening Colon

rcclary

Networker
Messages
64
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0
I know you cannot charge for an E/M visit for a screening colonoscopy with Medicare but what about other carriers. I am wanting to see what other offices are doing in this instance. I know some carriers will deny the claim for inconsistent coding. You cannot put a V code with an problematic E/M visit (e.g. V76.51 w/ 99203). BCBS will deny the claim but to the patient's responsibility stating preventative office visits are not covered. Can anyone tell me how their office handles office visits for screening colons? Do you charge for them? Thanks for your help.
 

tpontillo

Guest
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203
Location
Lauderdale Lakes
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I have been billing the office visit codes with the V76.51. I even bill these to BC. Most insurance's have been paying. If the pt has a deductible then it goes to the deductible.
 

kparkhurst

Networker
Messages
66
Location
Buffalo
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How do you document the HPI for these visits? I'm auditing a GI provider billing a commercial carrier for what appears to be an initial office visit prior to a screening colonoscopy. 50 year old patient whose mother was recently dx w/colon ca.
 
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