tci Outpatient Facility Coding Alert - 2016 Issue 4

Reader Question: Take a Note of the Gap Between High-Risk and Average-Risk Screenings

Question: We recently had a Medicare patient come to the office for a screening colonoscopy. He underwent an incomplete colonoscopy in December 2014 (only to the hepatic flexure) and now has bleeding hemorrhoids. From the op note, there were no abnormalities noted then. They just could not get past the hepatic flexure, after trying for 35 minutes and therefore, decided to terminate the procedure. He has no known diagnosis of colon cancer or polyps; however, he does have a history of prostate and laryngeal cancer and is concerned about having colon cancer. Doctor wants to perform a colonoscopy. Can...

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