Wiki G0105 in asc!!?

[ASC CODER]

Medicare patient

Pt came in and had a family history of colon cancer v16.0
Doctor did colonoscopy and didn't do anything. Found Diverticuli.

IN THE ASC do I bill 45378

Or Do I bill G0105 due to it only being a screening and did not become a procedure. The Patient did not have any symptoms before screening. Just Family History...

Help

 

[Jamie Dezenzo]

look at http://www.ngsmedicare.com
Medicare policy is helpful

I would go w/ G0105
dx V16.0 primary (or screening if stated in op note) and 562.10 2nd

 

[ASC CODER]

thanks it helps!!