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Thread: Medicare Screening Colonoscopy

  1. #1

    Default Medicare Screening Colonoscopy

    AAPC: Back to School
    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?

  2. #2
    Join Date
    Apr 2007


    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!
    Jenny Berkshire, CPC, CEMC, CGIC

  3. #3
    Join Date
    Apr 2007
    Greeley, Colorado


    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?
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Join Date
    Apr 2007
    Kokomo, IN

    Default medicare

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

  5. #5


    Thanks for all the input.

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