If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
I always question myself. I know when its a screening I use g0121 or g0105 but if its a surveillance colonoscopy high risk colon cancer do I use g0105 if its Medicare or are the G codes only for when its specifically says a screening
'Surveillance' is not a term that is useful for coding. A patient who meets the Medicare criteria for high-risk screening (i.e. the patient is not having any symptoms or current issues that would make the procedure diagnostic and is just being followed at intervals based on their history) then this would be properly coded with G0105. It's not absolutely necessary for the provider to state 'screening', however if it's not clear from the documentation whether this 'surveillance' is a high-risk screening or a diagnostic procedure, then you may need to query your provider for clarification.
'Surveillance' is not a term that is useful for coding. A patient who meets the Medicare criteria for high-risk screening (i.e. the patient is not having any symptoms or current issues that would make the procedure diagnostic and is just being followed at intervals based on their history) then this would be properly coded with G0105. It's not absolutely necessary for the provider to state 'screening', however if it's not clear from the documentation whether this 'surveillance' is a high-risk screening or a diagnostic procedure, then you may need to query your provider for clarification.