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General Surgery Coding Alert

You Be the Coder:

Employ These Tools for High-Risk Screening

Published on Mon Jan 06, 2014

Question: We had a patient who underwent a “high risk” colonoscopy screening for personal history of colon cancer. The surgeon found no abnormalities and took no biopsies during the procedure, so we billed 45378 with the ordering diagnosis V10.05. However, this payer will only recognize V76.51 for screening colonoscopy, so the patient’s diagnostic benefits were applied, engendering large out-of-pocket expenses. [...]
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