Part B Insider (Multispecialty) Coding Alert
Reader Questions:
G0121 Accepts No Other ICD-9 But V76.51
Published on Fri Oct 08, 2010
Question:
Answer:
On the claim, you should report G0121 (Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk). But make sure there is no need or any therapeutic intervention during the colonoscopy.Heads up:
Diagnosis coding for all G0121 claims require only one ICD-9: V76.51 (Special screening for malignant neoplasms; colon). If the chart indicates a diagnosis of colitis, for example, then you shouldn't be reporting a screening.If you don't want a word from OIG and RAC auditors, you should make the chart notes and the procedure consistent.
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