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Screening vs dx colonoscopy

  1. #1
    Question Screening vs dx colonoscopy
    Medical Coding Books
    I feel like I am beating a dead horse with this topic. When a patient presents with a problem such hem pos stool or change in bowel habits, ect. I have always conisdered this a diagnostic colonoscopy. The doc is stating screening colon with whatever symptom they may have.

    My understanding of screening was the patient is asyptomatic. Any input would be appreciated.


  2. #2
    Greeley, Colorado
    The procedure is only screening if the patient does not have any symptoms. Once symptoms are reported, the procedure then becomes diagnostic. Get out your ICD-9 guidelines to show your physician. Chapter 18 Classification of Factors Influencing Health Status and Contact with Health Service (Supplemental V01-V89); section d (categories of V codes) item 5 (screening). It's right there and you are correct.
    Lisa Bledsoe, CPC, CPMA

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