Results 1 to 4 of 4

E/M Visits prior to Screening Colon

  1. #1
    Default E/M Visits prior to Screening Colon
    Medical Coding Books
    I know you cannot charge for an E/M visit for a screening colonoscopy with Medicare but what about other carriers. I am wanting to see what other offices are doing in this instance. I know some carriers will deny the claim for inconsistent coding. You cannot put a V code with an problematic E/M visit (e.g. V76.51 w/ 99203). BCBS will deny the claim but to the patient's responsibility stating preventative office visits are not covered. Can anyone tell me how their office handles office visits for screening colons? Do you charge for them? Thanks for your help.

  2. #2
    Lauderdale Lakes
    I have been billing the office visit codes with the V76.51. I even bill these to BC. Most insurance's have been paying. If the pt has a deductible then it goes to the deductible.

  3. #3
    How do you document the HPI for these visits? I'm auditing a GI provider billing a commercial carrier for what appears to be an initial office visit prior to a screening colonoscopy. 50 year old patient whose mother was recently dx w/colon ca.

  4. #4
    Kansas City, MO
    We don't bill these for any payer...and probably not a good idea to bill differently based on the payer.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

Similar Threads

  1. E/M prior to screening
    By in forum Gastroenterology
    Replies: 1
    Last Post: 12-12-2015, 11:53 AM
  2. E/M visit prior to screening colonoscopy
    By ashive7431 in forum E/M
    Replies: 2
    Last Post: 02-05-2014, 10:28 AM
  3. Office Visit Prior to Screening Colon
    By lisner1204 in forum Gastroenterology
    Replies: 12
    Last Post: 06-06-2013, 12:22 PM
  4. Office Visits prior to Screening Colon
    By rcclary in forum E/M
    Replies: 2
    Last Post: 02-16-2012, 12:44 PM
  5. Visit prior to a screening colonoscopy
    By BPinchbeck in forum Medicare Regulations
    Replies: 1
    Last Post: 04-16-2010, 10:42 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.