tci General Surgery Coding Alert - 2008 Issue 6

Once a Screening, Always a Screening, CMS Says

The colonoscopy procedure code may change, but the dx won-t A recent CMS Transmittal has called an end to conflicting guidelines on how to diagnose a screening colonoscopy during which the physician finds a polyp or other abnormality. Coders should find relief in the CMS announcement: The issue of how to report a "screening-turned-diagnostic" has caused confusion for years. Medicare Requires G Codes for Screening Exam For Medicare patients, you should report G0121 (Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk) for an average-risk patient receiving a screening colonoscopy, or G0105 (Colorectal cancer screening; colonoscopy...

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