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Non medicare colonoscopy

  1. #1
    Default Non medicare colonoscopy
    Exam Training Packages
    Can the G codes for screening colonoscopy be used for all carriers or only medicare?

  2. Default Colonoscopy G Codes
    The G Codes G0105 And G0121 Are For Screening Purposes And I Bill These Codes As Appropriate - If I Bill These Proc Codes Then I Will Use The Diag Code V76.51
    If Its Not For Screening Purposes Then I Bill Proc Codes 453__ As Appropriate And The Diagnosis For The Problem.
    In Answer To Your Question - These Codes Can Be Billed To Other Carriers Not Just Medicare.

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    We only use the G codes for Medicare.
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Location
    Charlotte, NC
    Posts
    534
    Default
    I've noticed some carriers do not like the G codes for some odd reason, but they are what they are.

    G code is for a screening colonoscopy, thats what you need to code.

  5. Default
    Carriers prefer the 453XX codes & normally we use the G codes for mainly MC patients. And of course we have patients who come in for routine/screening colonoscopy & it will to lead to biopsy &/or other procedures during that visit.
    Last edited by TNavarre; 12-18-2008 at 10:28 AM.

  6. #6
    Default non m'care colonoscopy
    We too only used the G codes for medicare patients.
    Anna

  7. #7
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Quote Originally Posted by coachlang3 View Post
    I've noticed some carriers do not like the G codes for some odd reason, but they are what they are.

    G code is for a screening colonoscopy, thats what you need to code.
    You can code 45378 V76.51 and that qualifies with non-Medicare carriers as screening.
    Lisa Bledsoe, CPC, CPMA

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