AAPC - Back to school
Results 1 to 3 of 3

Thread: Scheduled Colorectal Screening with signs and symptoms

  1. #1

    Default Scheduled Colorectal Screening with signs and symptoms

    AAPC: Back to School
    If a patient is scheduled for a colorectal screening and upon arrival tells the physician that he/she has had rectal bleeding or chronic diarrhea, should one of the diagnosis codes be V76.51 with the signs and symptoms? If biopsies are taken should a PT modifier be appended? The ICD-9 screening guidelines state, "The testing of a person to rule out or confirm a suspected diagnosis because the patient has some sign or symptom is a diagnostic examination, not a screening. In these cases, the sign or symptom is used to explain the reason for the test". Since the patient was sent for a screening but notified the performing physician of some sign or symptom, should the V code be dropped or should it be left on since that was the original intention for the procedure? I guess I'm just used to not billing the screening diagnostic code if there is a sign or symptom due to the ICD-9 guidelines, but this is a slightly different scenario. Thanks for your help.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    The thing to check here is if the symptoms expressed by the patient are current symptoms or do they come from =questioning as to whether the patient has had these problems in their history. If they are current aggravating symptoms then perhaps the test was incorrectly ordered as a screening as this is diagnostic. But if the patient is mere relying that these things have occured at some point then it is still screening as these are history issues and not current symptoms.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    That makes sense. Thank you so much for your response!

Similar Threads

  1. Signs and Symptoms vs Findings
    By sandya in forum Cardiology
    Replies: 6
    Last Post: 12-18-2013, 09:11 AM
  2. Signs and symptoms....
    By cpicerno in forum Auditing General Discussion
    Replies: 4
    Last Post: 04-28-2012, 05:46 PM
  3. Associated signs/symptoms
    By michiboo in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-10-2010, 02:26 PM
  4. Associated signs and symptoms
    By dawn1170 in forum Emergency Department
    Replies: 2
    Last Post: 04-06-2009, 09:14 AM
  5. Constitutional signs and symptoms
    By Love Coding! in forum E/M
    Replies: 3
    Last Post: 07-24-2008, 02:42 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.