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GI Coding

  1. Question GI Coding
    Medical Coding Books
    Patient has a history of Colon Polyps V12.72, returns 3 years later for a repeat colonoscopy is this considered a screening colonoscopy V76.51. If so should the history code be the primary diagnosis with the screening diagnosis being second?

  2. #2
    Boise, Idaho
    From what I understand this is a high risk screening

  3. #3
    Ellenville, New York
    Default Here is the Medicare definition of high-risk
    Quote Originally Posted by syllingk View Post
    From what I understand this is a high risk screening
    You're at high risk if you have any of the following risk factors:

    A close relative (sibling, parent, or child) who has had colorectal cancer or an adenomatous polyp (a type of polyp that could become cancerous)
    A family history of familial adenomatous polyposis (this involves multiple adenomatous polyps, often in the hundreds, and carries a very high risk of colon cancer)
    A family history of hereditary nonpolyposis colorectal cancer (a type of colorectal cancer that runs in families and tends to cause cancer at a relatively young age - under 45 years)
    A personal history of adenomatous polyps
    A personal history of colorectal cancer
    A personal history of inflammatory bowel disease, including Crohn's Disease and ulcerative colitis



    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY

    2016 Secretary
    Ellenville, NY Local Chapter

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