|Home » Categories » CPT Surgery/APC Coding|
|Article Number: 465 | Rating: Unrated | Last Updated: Mon, Aug 1, 2011 11:44 PM|
What would be the diagnoses and procedure codes for the following scenerio: A physician refers a Medicare patient for a "surveillance" colonoscopy due to a prior history of colon polyps which were removed and the patient has no symptoms. The colon was clear and nothing was seen or removed with this "surveillance" colonoscopy.
While Medicare does not use the term surveillance in the context of a colonoscopy, the American College of Gastroenterology equates a surveillance colonoscopy with a screening exam. The term surveillance in ICD-9-CM indicates a condition that has been treated in the past and is no longer present but is being followed. This, in combination with the fact that a screening exam is defined as an exam in a seemingly well individual with no presenting symptoms would tend to lead the coder to code this as a screening exam of a high risk patient if the Medicare G codes are being applied. An appropriate V-code to capture the fact that the patient has a history of colon polyps will support the coding of the high-risk screening colonoscopy code. If necessary, develop an internal policy that addresses the coding of surveillance colonoscopies as screening and/or work with physician staff to more clearly delineate these as screening.
There are no attachments for this article.
There are no comments for this article. Be the first to post a comment.
Platelet Rich Plasma Injection with Total Knees
Viewed 1386 times since Thu, May 12, 2011
Hip Core Decompression
Viewed 3329 times since Sun, Nov 14, 2010
Thrombus of Porcine Heart Valve
Viewed 956 times since Tue, Nov 6, 2012
Viewed 619 times since Wed, Jun 20, 2012
FB eye with rust ring removal CPT
Viewed 2997 times since Thu, Mar 17, 2011
Lumbar Punture by Radiologist
Viewed 1797 times since Tue, Nov 27, 2012
CPT code 20610 vs. G0260 vs 27096
Viewed 4505 times since Tue, Apr 26, 2011
Fluoro & Injection to Check Port
Viewed 4585 times since Sat, Mar 19, 2011
Apligraf Application CPT Coding
Viewed 3707 times since Tue, Oct 11, 2011
Failed Placement of Infusaport
Viewed 2171 times since Tue, Dec 27, 2011