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ICD 10 CODE POLYPS SPLENIC FLEXTURE MANUAL
ICD 10 CODE POLYPS SPLENIC FLEXTURE PROFESSIONAL

Surveillance colonoscopy is a subset of screening, performed at an interval less than the standard 10 years from the last colonoscopy (or sooner, in certain high-risk patients), due to findings of cancer or polyps on the previous exam. Discovery of a polyp or cancer during a screening exam does not change the screening intent. Screening colonoscopy is defined as a procedure performed on an individual without symptoms to test for the presence of colorectal cancer or polyps. Much of the confusion with respect to coding for colonoscopy arises from the dichotomy between screening and diagnostic colonoscopy. This month’s column addresses coding and reimbursement questions regarding a procedure performed by many general surgeons: colonoscopy.

Betsy Nicoletti Notes: Coding for screening colonoscopies.

ICD 10 CODE POLYPS SPLENIC FLEXTURE PROFESSIONAL

American Academy of Professional Coders: ICD-10 crosswalk.

American Gastroenterological Association.

The patient’s medical record should contain documentation to support an incomplete procedure.Resources for colonoscopy coding and reimbursement.

If the provider of the colonoscopy is other than the ordering/referring physician, the provider of the service must maintain hard copy documentation of procedure results/report and pathology report along with copies of the ordering/referring physician's order for the procedure.

The procedure results/report and any associated pathology report must be included in the patient's medical record.

Medical record documentation (office/progress notes) maintained by the ordering/referring physician must indicate the medical necessity of the colonoscopy procedure.

The submitted CPT/HCPCS code must describe the service performed.

The submitted medical record must support the use of the selected ICD-10-CM code(s).

The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.

Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service).

All documentation must be maintained in the patient's medical record and made available to the contractor upon request.

When billing for non-covered services, use the appropriate modifier. Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. Please refer to the LCD for reasonable and necessary requirements. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) 元8812 (Diagnostic Colonoscopy). Not endorsed by the AHA or any of its affiliates. Presented in the material do not necessarily represent the views of the AHA. Preparation of this material, or the analysis of information provided in the material. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness orĪccuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the

ICD 10 CODE POLYPS SPLENIC FLEXTURE MANUAL

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