DecisionHealth, DecisionHealth - 2012 Issue 1 (January)

Ask a Part B News Expert: Colonoscopy coding

If a patient is getting a colonoscopy for a V12.72 history of colon polyps with no other indications, does CMS consider that to be G0105 (colorectal cancer screening) or 45378 (diagnostic colonoscopy)?  The physicians refer to it as “surveillance” and bill 45378 - V12.72. Medicare pays but we need clarity on what is considered correct.

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