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Thread: Question on screening verus diagnostic colonoscopy

  1. #1

    Default Question on screening verus diagnostic colonoscopy

    AAPC: Back to School
    The patients first visit to the dr. for a screening colonoscopy to be done on a following date? will I code V76.51 for this visit and the date of colonoscopy?
    Thanks for any help.

  2. #2
    Join Date
    Apr 2007
    Charlotte, NC


    Yes. You can. However the visit most likely will not be covered since the pre-screening visit payment is part of the procedure payment itself. I strongly suggest your doctor or practice look into an Open Access program, that way you skip the unneeded "pre-sreening visit".

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    That is correct, in fact I remeber seeing on the CMS website that stated that pre visits for colonoscopies were not billable. I am sure someone has that reference I will see if I can pull it up again.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Join Date
    Apr 2007
    Charlotte, NC


    True, medicare will not pay for the pre-screening visit. I've seen some other private carriers that do, though I'm sure they will change soon enough. Sorry for not clarifying that in my post.

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