I think if the patient had come back in three years like they were asked to and nothing was found, V67.09 would have been appropriate. If something were found, you wouldn't code V67.09; only the findings would be coded. Colonoscopy guidelines are usually 5 years for high risk and 10 years for those who don't qualify as high risk. As long as the patient didn't have any signs or symptoms (change in bowel habits, etc.), I think it should have been billed as a screening.
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