It does not matter the insurance company it comes down to correct coding. If the patient presents for screening then they are asymptomatic so if there are symptoms listed then are these things the patient has experienced in their past, if so then it is screening. The guidelines state screening is the first listed dx regardless of findings. If the patient is symptomatic then it is contraindicated to perform screening. So you must first ascertain the reason for the exam. If it is screening then that is the first listed and the findings are secondary regardless of the procedure performed.
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