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  • Code Colonoscopies With Precision - AAPC Knowledge Center
    Screening Colonoscopy Medicare coverage for preventive colonoscopies applies to patients aged 50 and older As of 2022, the majority of commercial insurances cover screening colonoscopy for patients aged 45 and older And a few payers cover even earlier for individuals at high risk for colorectal cancer
  • Colonoscopy: Screening or Surveillance? - AAPC
    Physicians and coders must be able to distinguish between a screening and surveillance colonoscopy As defined by The U S Preventive Services Task Force (USPSTF): A screening colonoscopy is performed once every 10 years for asymptomatic patients aged 50-75 with no history of colon cancer, polyps, and or gastrointestinal disease
  • Master the Many Nuances of Colonoscopy Coding : Colonoscopy Coding - AAPC
    The modifier tells the payer that the provider performed a colonoscopy, but that it was a preventive screening “The most common situation where Medicare and commercial payers may differ is when the patient had a prior colon polyp and the surveillance exam was done, but we report ICD-10 code Z86 010 [ Personal history of colonic polyps
  • Correctly File Screening Colonoscopy Claims with These Tips - AAPC
    When a screening colonoscopy turns diagnostic, use the following two tips to correctly code the case and secure your surgeon’s pay and the patient’s best coverage Tip 1: Get the Diagnosis Right When you’re coding a CRC screening colonoscopy or flexible sigmoidoscopy, you may have several ICD-10-CM codes to consider
  • Highlight Preventive Colonoscopy : Reader Questions - AAPC
    Highlight Preventive Colonoscopy Question: We have a case in which the surgeon performed a screening colonoscopy, but found [ ] Reader Questions: Capture US Guidance with Arterial Catheterization Question: Our surgeon performed a percutaneous arterial catheterization for a transfusion using ultrasound guidance How [ ] Reader Questions:
  • Screen Your Colorectal Cancer Coding - AAPC Knowledge Center
    Proper coding is 45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)-PT, with ICD-10-CM codes Z12 11 and K57 30 Diverticulosis of large intestine without perforation or abscess without bleeding
  • Reporting Anesthesia for Colonoscopy - AAPC Knowledge Center
    A parenthetical note follows the descriptor for 00812, “Report 00812 to describe anesthesia for any screening colonoscopy regardless of ultimate findings ” In other words, if an exam begins as a screening, but the colonoscopy reveals a polyp(s) or other diagnostic finding, report the anesthesia service as a screening
  • 8 Tips Give You Straight Facts on Modifier 33 - AAPC
    Insurers also are permitted to impose cost sharing — or choose not to provide coverage — for recommended preventive services provided out-of-network Treatment resulting from a preventive screening is subject to cost-sharing if it is not a recommended preventive service 6 Apply Modifier 33 to All Eligible Services


















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