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Thread: GI Coding

  1. #1

    Question GI Coding

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Boise, Idaho


    From what I understand this is a high risk screening

  3. #3
    Join Date
    Apr 2007
    Carmel, 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

    Source: http://www.medicare.gov/navigation/m...screening.aspx


    2016 Secretary
    Ellenville, NY Local Chapter

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