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Thread: Medicare Screens

  1. #1
    Join Date
    Apr 2007
    Des Moines

    Default Medicare Screens

    AAPC: Back to School
    If a Medicare patient presents for a screening colonoscopy, and has a history of polyps/colon malignancy, do you still use V76.51 as primary diagnosis or one of the history codes as primary diagnosis? What if the patient was a Wellmark/BCBS subscriber? Do they prefer the V76.51 as primary and then the history code second? Thanks gang!


  2. #2
    Join Date
    Apr 2007


    You would use the high risk codes, e.g. V12.72 or V10.05. Medicare prefers the G0105 that indicates high risk screening.
    Catherine Du Toit CPC, CGIC,PCS

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