is it appropriate to use dx code v76.41-special screening malignant neoplasm of colon with an outpt consultation code (99241-99245) when a patient has been referred for screening colonoscopy by her pcp?
there are no risk factors, other than age, or medical complaints
also, is it more appropriate to use a preventive counseling code from the 99401-99404 based on time as opposed to 99241-99245 as there is no exam being performed nor is there a medical diagnosis to support a need for specialists opinion-the patient was simply referred to my doc for a screening colonoscopy and he met the patient first to discuss risk factors, surgical risks and benefits, etc
i am new to colorectal surgery/gastro and need some guidance on this particular issue
any help is appreciated
Thanks
there are no risk factors, other than age, or medical complaints
also, is it more appropriate to use a preventive counseling code from the 99401-99404 based on time as opposed to 99241-99245 as there is no exam being performed nor is there a medical diagnosis to support a need for specialists opinion-the patient was simply referred to my doc for a screening colonoscopy and he met the patient first to discuss risk factors, surgical risks and benefits, etc
i am new to colorectal surgery/gastro and need some guidance on this particular issue
any help is appreciated
Thanks