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tci General Surgery Coding Alert - 2008 Issue 8

Update: Watch How You Sequence and Link Colonoscopy Dx

Don't be thrown by this wrinkle in -screening-turned-diagnostic- coding Recent CMS instruction has ended confusion over how to diagnose a screening colonoscopy that turns into a colonoscopy with polyp removal, but there remains one potential pitfall for coders preparing these claims. Get the complete facts here to avoid a crucial mistake. List Screening V Code First - If a service to a Medicare beneficiary starts out as a screening examination, "then the primary diagnosis should be indicated on the form CMS-1500 (or its electronic equivalent) using the ICD-9 code for the screening examination," dictates Medicare Learning Network (MLN)...

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