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Thread: V67.09 for Medicare follow up colonoscopy

  1. #1

    Default V67.09 for Medicare follow up colonoscopy

    AAPC: Back to School
    Since the CMS guidelines were updated effective Oct. 2009 for coding follow up for polyps and/or colon cancer to V67.09 and 45378, has anyone seen a change in reimbursement or denials? This is from Supplemental Instructions Article A45926..."4.Surveillance of colonic neoplasia. When the patient has a history of colorectal cancer or polyps and is being followed for this indication, use the appropriate diagnostic CPT code with ICD-9-CM code V67.09 as the primary diagnosis and one of the following ICD-9-CM codes as the secondary diagnosis: V10.05, V10.06 or V12.72."

  2. #2

    Default V67.09

    Isn't there specific guidelines from Medicare that state you must have specific sizes of polyps previous removed to use this code?

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