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Patient is young, started having surveillance colonoscopies, q. 5 years, at age 25 , due to a brother diagnosed with colon cancer and passing at a young age. Currently I am using the diagnosis of Z80.0 (Fx hx) as primary as the patient has not had any findings in his past scopes. Patient is now requesting we use the "screening" diagnosis as he states his insurance will pay 100% for a screening vs. deductible/copay for surveillance. I understand q. 5 years makes this definitely a surveillance scope, I'm wondering would it be inappropriate to use the screening diagnosis (Z12.11) in intervals, q. 10 years, as long as the scopes remain clear? Just trying to compromise with the patient. Thoughts?