Wiki Medicare Screening Colonoscopy

[coderguy1939]

Medicare patient with a history of colon cancer had a colonoscopy. With a history of colon cancer will there ever be a situation where this patient would be getting a screening colonoscopy versus a diagnostic procedure?

 

[j.berkshire]

Good question! Are there any LCDs for diagnostic colonoscopy without personal history of colonic neoplasm listed as an indication? The only situation may be the diagnostic frequency: after 1 year and then every 3-5 years. What does anyone else think!

 

[Lisa Bledsoe]

My understanding of "history of" means that the cancer is no longer present...therefore, wouldn't you be able to code G0105 with V10.05?

 

[Anna Weaver]

medicare

I agree with Lisa, I would do the G0105 (high risk colonoscopy screen) and the V10.05.

 

[coderguy1939]

Thanks for all the input.