AAPC - Back to school
Results 1 to 4 of 4

Thread: E/M dx for screening colonoscopy

  1. #1
    Join Date
    Apr 2007
    Columbus, OH

    Default E/M dx for screening colonoscopy

    AAPC: Back to School
    Scenerio: patient present to the office to schedule a screening colonscopy. The E/M was done 45 days before the actual scope was done. I have always used V76.51 to indicate that a screening colonoscopy is planned. The patient has no history or problems and this is just a routine over 50 screening. Medical Mutual is denying the E/M stating that it must be billed as a preventative visit CPT.

    If you don't use V76.51, what would indicate the 'need' for colonscopy. I don't agree that a preventative visit code is appropriate by a specialist. Any ideas??

  2. #2


    My doctors don't do E/M's for screenings and I think you are not supposed to bill for that. I could be wrong, but I think that is what has been said in earlier posts in this forum.


  3. #3
    Join Date
    Apr 2007
    Charlotte, NC


    Medicare bundles the OV prior to the actual screening into payment of the procedure. Most other payors do as well.

  4. #4
    Join Date
    Apr 2007


    agree. The visit prior to the screening is typically considered part of the procedure, regardless of how many days prior to the colonoscopy it is.

Similar Threads

  1. Screening colonoscopy
    By beachgrl62 in forum Anesthesia
    Replies: 3
    Last Post: 08-05-2015, 10:00 AM
  2. Screening Colonoscopy vs Problem Colonoscopy
    By puggles in forum General Surgery
    Replies: 5
    Last Post: 03-25-2014, 06:08 AM
  3. Screening Colonoscopy versus Surveillance Colonoscopy
    By wsoler in forum Gastroenterology
    Replies: 19
    Last Post: 10-10-2013, 05:11 PM
  4. E/M and screening colonoscopy
    By katelliott80 in forum Gastroenterology
    Replies: 0
    Last Post: 10-12-2009, 12:48 PM
  5. Screening Colonoscopy
    By DLB in forum Gastroenterology
    Replies: 1
    Last Post: 01-16-2009, 07:41 AM

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.