← Return to Insurance question on colonoscopy: screening or diagnostic?

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Profile picture for gangcarotid1 @gangcarotid1

I go back for colonoscopy every 3 yrs. Was told a routine colonoscopy is preventative; going back more often than routine is diagnostic. Would think yours would be the same. I'd talk to your dr.... Coding might be all that needs to be changed when they send their bill to yout insurance co.

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Replies to "I go back for colonoscopy every 3 yrs. Was told a routine colonoscopy is preventative; going..."

I had the same thing happen to me on my first colonoscopy (i.e. found a NET ). When scheduling the colonoscopy make sure they know you are on a 1 year or 3 year high risk screening per your doctor. Should be a screening if not symptomatic. I am also a medical coder. I would ask that your colonoscopy be reviewed and recoded as a screening. If need be perhaps you doctor can confirm that to the coder or billing office. They will need to submit a new claim with the new codes to your insurance company. Don't pay until that has been done.