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Commonwealth Care Alliance Provider Manual 2020
Oct 01, 2020 · The list has been updated on 01/01/2020. Changes were made for clarification. ... CPT. 97810-97814. N/A. Per 15 minutes. Adult Day Health - Basic. Yes. 11, 49, 99 ... cervical and vaginal cancer screening, colorectal cancer screening (fecal occult blood test sigmoidoscopy, colonoscopy or screening barium enema), smoking and tobacco use ...
screening colonoscopy codes for medicare

[DOC File]Title 19--DEPARTMENT OF HEALTH
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Colonoscopy, diagnostic . CPT-4 45378 Colonoscopy, fiber-optic, beyond splenic flexure; diagnostic, with or without colon decompression . ICD-9 45.23 Colonoscopy . Sigmoidoscopy, diagnostic . CPT-4 45330 Sigmoidoscopy, flexible fiber-optic; diagnostic . ICD-9 45.24 Flexible sigmoidoscopy . Operations on the Digestive System
cpt code for colonoscopy 2020

[DOCX File]75571
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CareSource - IN Medicaid, GA Medicaid, KY Medicaid and . OH Medicaid (excluding ABD adults and MAGI) Utilization Review Matrix 2021. The matrix below contains all of the CPT 4 codes for which Magellan Healthcare1 manages on behalf of CareSource. This matrix is designed to assist in the resolution of claims adjudication and claims questions related to those services authorized by …
screening colonoscopy turned diagnostic cpt coding

[DOCX File]Molina Healthcare
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Updated 1/15/2020. MEDICARE and MMP HEDIS ... Colonoscopy. CPT ®: 44388-44394, 44397, 44401-44408, 45355, 45378-45393, 45398 . HCPCS ... Do not count biopsies, breast ultrasounds, or MRIs because they are not appropriate methods for primary breast cancer screening. CPT ...
coding high risk colon screenings

[DOC File]Physician/Independent Lab/CRNA/Radiation Therapy Center ...
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Virtual colonography is not reimbursable when used as an alternative to instrument/fiberoptic colonoscopy, for screening or in the absence of signs or symptoms of disease. c. Since any colonography with abnormal or suspicious findings would require a subsequent instrument/fiberoptic colonoscopy for diagnosis (e.g. biopsy) or for treatment (e.g ...
diagnosis code for colonoscopy

[DOCX File]You could add detailed steps for setting up the VA-HEP C ...
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Average risk screening between ages 50-75. Colonoscopy follow-up, based on provider recommendations, without age limits. Diagnostic colonoscopy documentation and action following a positive FIT/FOBT. Includes a mechanism for providers to: Enter historical/outside test results and update the system to set future care prompts.
cms guidelines for colonoscopy coding

[DOCX File]Clear Spring Health
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Aug 19, 2020 · Colorectal Cancer Screening (COL) (Administrative/Hybrid) HEDIS: Percentage of members 50-75 years of age who had appropriate screening for colorectal cancer. TEST REQUIRED FOR COMPLIANCE: iFOBT / Colonoscopy / Flexible Sigmoidoscopy / CT Colonography / FIT-DNA Test. Description. CPT. HCPCS. Criteria. FOBT. 82270, 82274. G0328. During the ...
g0121 vs 45378

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Effective January 1, 2018, when a screening colonoscopy becomes a diagnostic colonoscopy, report anesthesia services with CPT code 00811 (Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified) with only the PT modifier, and only the deductible will be waived.
payable diagnosis for cpt 45378

Screening colonoscopy cpt 2020