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Colonoscopy G codes

  1. #1
    Default Colonoscopy G codes
    Medical Coding Books
    I had a commercial insurer deny a colonoscopy (screening with a family history of colon cancer) because I didn't use the Medicare G code for high risk patient. This is a first for me. Are the G codes also for commercial insurers or just Medicare?

  2. #2
    Location
    Atlanta Perimeter
    Posts
    59
    Default
    Some of the commercial payers require G codes for screenings as well. All Medicare and Medicare replacements use them.
    Elizabeth Escalante, CPC
    Operations Manager
    Atlanta Gastroenterology Associates

  3. #3
    Location
    Charlotte, NC
    Posts
    534
    Default
    It also depends on your contract with the payor.

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