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V12.72 & V76.51 for initial visits and follow ups

Donya Posted Thu 27th of January, 2011 14:45:22 PM

What is the proper/correct billing for initial visits and follow ups when the only dx code is V76.51 & V12.72?
Can you bill a E&M visit for this services?

SuperCoder Answered Fri 28th of January, 2011 09:55:52 AM

This type of visit is generally associated with a patient's past history of colonic polyps, but has scheduled a visit without any symptom with an office/outpatient visit to discuss with the physician for scheduling a screening colonoscopy to rule out malignancy. The physician, evaluates the context of past history of the patient, keeping in view of the patient's age and other family history and decides on the scheduling of colonoscopy. The only Dx codes in such cases V76.51 and V12.72.

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