GI Coding

[Sherri Hillard]

Patient has a history of Colon Polyps V12.72, returns 3 years later for a repeat colonoscopy is this considered a screening colonoscopy V76.51. If so should the history code be the primary diagnosis with the screening diagnosis being second?

 

[syllingk]

From what I understand this is a high risk screening

 

[MnTwins29]

Here is the Medicare definition of high-risk

From what I understand this is a high risk screening

You're at high risk if you have any of the following risk factors:

A close relative (sibling, parent, or child) who has had colorectal cancer or an adenomatous polyp (a type of polyp that could become cancerous)
A family history of familial adenomatous polyposis (this involves multiple adenomatous polyps, often in the hundreds, and carries a very high risk of colon cancer)
A family history of hereditary nonpolyposis colorectal cancer (a type of colorectal cancer that runs in families and tends to cause cancer at a relatively young age - under 45 years)
A personal history of adenomatous polyps
A personal history of colorectal cancer
A personal history of inflammatory bowel disease, including Crohn's Disease and ulcerative colitis


Source: http://www.medicare.gov/navigation/...eventive-services/colon-cancer-screening.aspx