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  1. Mar 1, 2013 · ICD-9-CM guidelines do not allow the use of the V76.51 screening code with the V12.72 personal history code. Scenario 2: An asymptomatic patient is scheduled for a colonoscopy. The patient is 50-years-old and has a mother who was diagnosed with colon cancer at age 55.

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  3. Jul 31, 2023 · To report screening colonoscopy on a patient not considered high risk for colorectal cancer, use HCPCS code G0121 and diagnosis code Z12.11 (encounter for screening for malignant neoplasm of the colon).

  4. Here are the most common colorectal cancer (CRC) screening tests — including colonoscopies and stool-based tests — with guidance on how to code for them and what patients can usually expect to pay. You can also view additional details & FAQs on coding for screening colonoscopies.

  5. Mar 1, 2021 · Most often, you will use HCPCS Level II codes G0121, G0105, and G0104 to report colon cancer screening services for Medicare patients. G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk.

  6. To report screening colonoscopy on a patient not considered high risk for colorectal cancer, use HCPCS code G0121 and diagnosis code V76.51 (Special screening for malignant neoplasm of the colon).

  7. Key Points for Practice. • Start CRC screening at 50 years of age, but consider offering it at 45 years of age for average-risk patients. • CRC screening beyond age 75 should be individualized...

  8. 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.

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