1. Wanett Mims
   Posted 1 year ago #
   

   If a pt is having a routine V76.51 colon screening but they have a family history of colon cancer or colon polyps, is the V76.51 the first dx and the 'history of (V16.0)' code 2nd? Thanks for any info.

2. Marilyn Lucus
   Posted 1 year ago #
   

   ..

3. SuperCoder
   Posted 1 year ago #
   

   You are absolutely right.

   For a Medicare patient, code selections for colorectal screenings should include V76.51 as the primary diagnosis. Then you must check if the patient is considered a high risk. There are specific criteria that CMS requires for a patient to be categorized as “high risk.” To establish the patient as “high risk,” the patient should exhibit one or more of the conditions found on the CMS list, which you should report as a secondary diagnosis to V76.51.

   Here are some examples:
   V10.05—Personal history of malignant neoplasm, large intestine
   V12.72—Personal history of colonic polyps
   V16.0 — Family history of malignant neoplasm; gastrointestinal tract
   556.0—Ulcerative (chronic) enterocolitis

   For the complete list refer to: http://www.cms.hhs.gov/

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