personal hx of polyps

selbml

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Jenison, Michigan
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Ok so in the past I have always coded if a patient comes in for a 5 year colonoscopy and they find another polyp they remove I code 45380 211.3 v12.72 But then recently I was told that bcbs and medicare pay for those as routine whether polyp is found or not and should code it v76.51 v12.72 then 211.3 to show they are being screened every 5 because of polyps. then I was told no because once the polyp is found they are being treated for that polyp so it is no longer considered screening. If no poylps were found then it would be considered a high risk with G0105 v12.72. Can any one help and tell me where I can find documentation that states how to do it the correct way. Thanks
 

bdobyns

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Mesa Arizona
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Take a look at the Thread titled "Colon screening / history " on page two of this forum section. I think you will find this thread helpful.
 
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