Your G0105 pay hinges on sticking to your carrier's approved diagnoses. Check out this primer on high-risk diagnosis patients, and ensure your G0105 (Colorectal cancer screening; colonoscopy on individual at high risk) pay every time. Crohn's, Colitis Can Equal High Risk According to Medicare, a patient at high risk for colorectal cancer is eligible for a screening colonoscopy once every 24 months. Note: An individual at high risk for developing colorectal cancer has one or more of the following, confirms Cynthia Swanson, RN, CPC, senior managing consultant for Seim, Johnson, Sestak & Quist LLP in Omaha, Neb.: • a first-degree relative (sibling, parent, or child) who has had colorectal cancer or an adenomatous polyp • a family history of familial adenomatous polyposis or hereditary nonpolyposis colorectal cancer • a personal history of adenomatous polyps, malignant neoplasm of the large intestine, colorectal cancer, or gastrointestinal cancer • inflammatory bowel disease, including Crohn's disease and ulcerative colitis. Perfect ICD-9 Coding Via LCD Info Finding the exact ICD-9 codes your Medicare payer accepts for G0105 is a breeze; just go to its local coverage determination (LCD) and check out the list of acceptable diagnoses. Individual lists will vary, but the following ICD-9s will be on most Medicare payers' lists: • V10.05 -- Personal history of malignant neoplasm; large intestine • V10.06 -- ... rectum, rectosigmoid junction and anus • V12.72 -- Personal history of certain other diseases; colonic polyps • V16.0 -- Family history of malignant neoplasm; gastrointestinal tract • 555.1 -- Regional enteritis; large intestine • 555.2 -- ... small intestine with large intestine • 555.9 -- ... unspecified site • 556.0, 556.1 556.4, 556.5, 556.6, 556.8, 556.9 -- Ulcerative colitis • 558.2 -- Toxic gastroenteritis and colitis • 558.9 -- Other and unspecified noninfectious gastroenteritis and colitis.