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HCPCS Code for Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

HCPCS code G0121 for Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk as maintained by CMS falls under Screening Examinations and Disease Management Training .

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Official Long Descriptor

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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G0121
As long as it's Medicare, I use the G0121 with the Z12.11 as the primary diagnosis. Then I'll list K57.30 or any other incidental findings after the primary Z12.11. The MAC here is NGS and they pro... [ Read More ]
G0121
Screenings under CPT G0121 - can this only be billed with Z1211 or can you include incidental findings? i.e. diverticulosis?... [ Read More ]
Screening colonoscopy - Hemorrhoids
The coding would depend on what was documented in the operative report, but your first scenario is most likely the correct one. If the procedure was only a screening and the hemorrhoids and divertic... [ Read More ]
Screening colonoscopy - Hemorrhoids
would like some input on a discussion regarding for MEDICARE when doing a screening colonoscopy. Pt is a 70 yrs old having a screening colonscopy with no hx of any. Not high risk. If intention is to ... [ Read More ]
What ICD 10 and CPT to use for post transplant patient for routine colonoscopy with Medicare?
We have a post transplant patient who had a colonoscopy in 2016. We used Z12.11 and Medicare paid. Patient did not have any other dx findings on report. Our transplant patients need to have routine co... [ Read More ]
What ICD 10 code to use for routine colonoscopy for transplant patient with Medicare?
We have a post transplant patient who had a colonoscopy in 2016. We used Z12.11 and Medicare paid. Patient did not have any other dx findings on report. Our transplant patients need to have routine co... [ Read More ]
New -PT modifier requirements
[QUOTE="nsteinhauser, post: 510997, member: 85857"] Good morning, Has anyone recently come up against using the -PT for Medicare plan screening colonoscopy turned diagnostic? Transmittal: [URL]https:... [ Read More ]
New -PT modifier requirements
Good morning, Has anyone recently come up against using the -PT for Medicare plan screening colonoscopy turned diagnostic? Transmittal: [URL]https://www.cms.gov/Regulations-and-Guidance/Guidance/Tran... [ Read More ]
Need diagnosis other than Z12.11 for colonoscopy screening for transplant patient
Transplant status is not one of the criteria that Medicare recognizes as qualifying a patient as high risk, so I believe that this service is going to be statutorily excluded from coverage if performe... [ Read More ]
Need diagnosis other than Z12.11 for colonoscopy screening for transplant patient
I’m looking for advice on how to bill a colonoscopy screening for a patient who is high risk due to her transplant status. She has Medicare and needs colonoscopies every 5 years due to her transplan... [ Read More ]
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