How does using the IDC9 code v76.51, “Special screening for malignangt neoplasms, colon” affect HEDIS numbers?
The ICD9 code v76.51 is defined as “Special screening for malignant neoplasms, colon”. This code should only be used when a screening test is completed (not just discussed). It is appropriate, though not mandatory, to use this ICD9 code when any colon cancer screening test is performed, to include virtual colonoscopy, colonoscopy, etc. However, the provider must also include the proper CPT codes for the test performed. HEDIS interprets the ICD9 code v76.51 as meeting the same requirements as an FOBT–which means the individual would be considered current for one year from the date of this code. The MHSPHP data will display the date of this code as an FOBT date as per HEDIS definitions. The MHSPHP also displays the dates of colonoscopy, flex sig, virtual colonoscopy as picked up by the CPT codes of the procedure.
