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  1. ICD-9-CM V76.51 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V76.51 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).

    • Know Rules For Screening Services
    • Remember Screening-Turned-Diagnostic Rules
    • Popular Alternative Screening Method
    • Code with Confidence

    Medicare covers colorectal screening services for beneficiaries age 50 and older. If the patient is at an average risk for colorectal cancer, the interval is every 10 years. If the patient is at high risk for colorectal cancer, the frequency may be more often. Patients at high risk for colon cancer generally have one or more of the following charac...

    In the process of a screening colonoscopy service, if the provider finds something, such as a polyp, bill the appropriate diagnostic CPT® code rather than the screening code. Payers may vary in diagnosis coding requirements in this scenario. In most cases, you should report the screening diagnosis code followed by the diagnostic code. Be sure to ch...

    Cologuard™ is an at-home screening test that detects certain DNA markers and blood in the test-taker’s stool. What most people like about this test is that it is noninvasive and can be performed at home. This test has been found to detect 92 percent of colon cancers and 42 percent of high-risk pre-cancers. Most payers cover Cologuard™ under a preve...

    Pay close attention to coding guidelines and payer policies when billing any procedure or service. This will give you the knowledge and confidence to code your cases with accuracy. Query a provider when there is doubt or if you identify insufficient documentation.

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  3. Mar 2, 2018 · ICD-10 Diagnosis Codes. For multi-target stool DNA (sDNA) test, use Z12.11 Encounter for screening for malignant neoplasm of colon and Z12.12 Encounter for screening for malignant neoplasm of rectum. See NCD 210.3 for a full list of applicable diagnosis codes.

  4. G0121 – Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, or; G0105 – Colorectal cancer screening; colonoscopy on individual at high risk; ICD-10-CM codes. Z12.11 – encounter for screening for malignant neoplasm of colon (Note: this code must be listed first when reporting multiple diagnosis codes)

  5. Not Valid for Submission. V76.51 is a legacy non-billable code used to specify a medical diagnosis of special screening for malignant neoplasms of colon. This code was replaced on September 30, 2015 by its ICD-10 equivalent. ICD-9: V76.51. Short Description:

  6. Diagnosis code: V76.51 (Special screening for malignant neoplasms, colon) Example #2 Indication: Personal history of colon polyps, Colon screening Post-endoscopy findings: Normal colonoscopy Procedure code: G0105 (High risk screening) or 45378-33 (Diagnostic colonoscopy with modifier 33 indicating this is a preventive service)

  7. Special screening for malignant neoplasms colon (V76.51) Special screening for malignant neoplasms colon. (V76.51) ICD-9 code V76.51 for Special screening for malignant neoplasms colon is a medical classification as listed by WHO under the range -PERSONS WITHOUT REPORTED DIAGNOSIS ENCOUNTERED DURING EXAMINATION AND INVESTIGATION.

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