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Medicare Screening Colonoscopy

  1. #1
    Default Medicare Screening Colonoscopy
    Medical Coding Books
    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
    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
    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
    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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