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screening dx codes used with E/M

Leslie Posted Wed 18th of April, 2012 22:29:31 PM

An Internist does an E/M 99214,
List of Dx: 401.1, V45.89, V76.51(colon cancer screening)
He refers the patient out to a GI.
1)Can he still code V76.51(colon cx screening even though he does not perform)
can screening code V76.51 be used for billing in this scenario?

SuperCoder Answered Thu 19th of April, 2012 06:46:03 AM

NO, if a physician doesn't perform the screening test, we can't use screening DX code with the E/M code.
Here in the given scenario, physician referred the patient to the GI and not performed the screening test for Cx, hence V76.51 would not be reported with 99214.
Here the coding would be - 99214 -401.9 & V45.89

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