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Thread: colonoscopy coding

  1. #1
    Join Date
    Apr 2007

    Default colonoscopy coding

    AAPC: Back to School
    When billing a colonoscopy (no polyps found)of a patient that had benign polyps removed at a previous colonscopy is it correct to first bill V76.09 (following other surgery) as primary code followed by finding ex. 455.0 hemorroids and then V12.72 hx polyps therefore billing a diagnostic 45378 cpt code not screening or high risk screening?
    Thanks for your input!

  2. #2
    Join Date
    Apr 2007


    This sounds to me like a high-risk patient as defined by CMS--an individual with a personal history of colon polyps. I would bill this as G0105 with primary diagnosis code V12.72 followed by findings and incidentals.
    Jenny Berkshire, CPC, CEMC, CGIC

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