General Surgery Coding Alert

You Be the Coder:

List History for Colonoscopy Diagnosis

Question: We had a patient who had a colonoscopy for personal history of colon cancer (V10.05), but the patient’s insurance plan doesn’t recognize that code for screening benefits, so the diagnostic benefit applied and the patient had to pay out of pocket expenses. Is there anything we can do to avoid this?
Texas Subscriber
Answer: Regardless [...]
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