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G0105/G0121

SuperCoder Posted Fri 22nd of June, 2012 17:59:58 PM

THE DR IS DOING A SCREENING COLONOSCOPY AND BILLING FOR G0105/G0121. WHICH CODE TO USE? AND IS THERE A MODIFIER NEEDED? DO I NEED TO BILL 45378 WITH IT? PLEASE RESPONSE ASAP

SuperCoder Answered Mon 25th of June, 2012 14:23:17 PM

The Choice of G0121 or G0105 depend up on the disease. If patient has a personal history of cancer then the code would be G0105 otherwise report G0121.
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Applicability of modifier depends up on the local carrier policy, if billing to Medicare then no modifier is required.
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We can’t report G0121 or G0105 with 45378.

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