Gastroenterology Coding Alert
Support In-Office FOBT Services With Dx
Question: A 68-year-old established patient reports to the gastroenterologist complaining of rectal bleeding and occasional dark stool. After a level-two E/M, the gastroenterologist performs the fecal occult blood test (FOBT) and notes some bleeding in the rectum. He schedules the patient for a diagnostic colonoscopy in three weeks and sends him home. What codes can I report for this encounter? Idaho Subscriber Answer: You should report 82272 (Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screen) for the FOBT. Append 569.3 (Other disorders of intestine; hemorrhage of rectum and anus) to 82272 to represent the patient's rectal bleeding. You should also append 792.1 (Nonspecific abnormal findings in other body substances; stool contents) to 82272 to represent the patient's dark stool. Don't miss: You can also report the appropriate E/M service code, such as 99212 (Office or other outpatient visit for the evaluation and management of an established patient ...).
Gastroenterology Coding Alert
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Employ 59 for Stents Placed in Multiple Ducts
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