Medicare Coding of Incomplete Screening Colonoscopies (October 2003)
October 2003 page 9
Coding Brief:Medicare Coding of Incomplete Screening Colonoscopies
According to an August 1, 2003, Program Memorandum (Transmittal AB-03-114), Medicare
covers colorectal cancer screening test/procedures for the early detection of colorectal cancer
when coverage conditions are met. Among the screening procedures covered are screening
colonoscopies: G0105, Colorectal cancer screening; colonoscopy on individual at high risk; and
G0121, Colorectal screening; colonoscopy on individual not meeting criteria for high
risk. Coverage of these services is subject to certain frequency limitations.
In some instances, a provider may begin a screening colonoscopy, but, because of
extenuating circumstances, be unable to complete...
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