A hospital is performing a screening colonoscopy and during the course of the procedure lesions or growths are removed. Would this be billed as a screening colonoscopy or diagnostic colonoscopy?
If during the course of the screening colonoscopy, a lesion or growth is detected which results in a biopsy or removal of the growth, the appropriate diagnostic procedure classified as a colonoscopy with biopsy or removal should be billed and paid rather than code G0105. This screening must be performed by a doctor of medicine or osteopathy. Date Revised: 12/05/2010 Go to Top • A specimen was obtained several years ago and frozen. When tests are performed on this specimen today, what date is used to report the date of service on the claim, the date the specimen was harvested or the date of the test? For laboratory tests that require a specimen from stored collections, the date of service should be defined as the date the specimen was obtained from the archives. Reference: Centers for Medicare and Medicaid Services (CMS) Publication 100-04, Chapter 16, Section 40.8. Date Revised: 12/05/2010 Go to Top • Hospital declots shunt of an End Stage Renal Disease (ESRD) patient on an outpatient
