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Screening vs Elective Colonoscopy

  1. #1
    Default Screening vs Elective Colonoscopy
    Medical Coding Books
    If the doctor indicates that the patient is coming in for an elective colonoscopy and there are no pre-operative symtoms can V76.51 be used?

  2. #2
    yes as well as any findings (if any) during the course of the procedure.

  3. #3
    So elective can be interpreted as a screening colonoscopy without the words screening colonoscopy appearing on the op report?

  4. #4
    Greeley, Colorado
    Is there a reason for the "elective" colonoscopy?

  5. #5
    In the scenario I'm presenting, no indications for the elective colonoscopy is given. The doctor is not giving preoperative symptoms or stating screening colonoscopy, just elective colonoscopy.

  6. #6
    Greeley, Colorado
    If there is nothing in the medical record to indicate otherwise, and there are no specific findings, screening seems appropriate.

  7. #7
    Thanks for your response.

  8. Default V76.51
    I believe there is a coding clinic on this. V76.51 is the first listed/principal diagnosis when a patient presents for a screening colonoscopy (elective) and the patient does not have any symptoms (or no mention of a prior colonoscopy, hence follow up).

    Findings (polyps, diverticulosis, hemorrhoids) are listed as secondary only.


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