This is some text from MLN MM2874: "Once every 48 months, one Flexible Sigmoidoscopy examination is covered for beneficiaries age 50 and over. If, during the course of a screening Flexible Sigmoidoscopy, a lesion or growth is detected which results in a biopsy or removal of a growth, the appropriate diagnostic procedure (such as Flexible Sigmoidoscopy with biopsy or removal) should be billed rather than just a Flexible Sigmoidoscopy examination. "
This also means that the referring dr should have not given you a screening V-Code and should have given you the appropriate signs/symptoms DX. For which the biopsy or removal was done for.
In general, all true AP specimens are derived from diagnostic procedures and thats all I have to say on the matter.
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