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Linking Is Critical. The ICD-9 Code most appropriate for the prevasectomy examination-whether it's a consultation or a new/established patient visit-is ICD-9 V25.09 (Encounter for contraceptive management; general counseling and advice; other). But you should also link V25.2 (... sterilization) to the vasectomy procedure (55250, Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination[s]).
The CPT code would be 45378 (Colonoscopy, flexible, proximal to splenic flexure, diagnostic). Medicare has slightly different code selections for colorectal screenings than commercial payers. Let's talk about the ICD-9 code selections. For a Medicare patient, you would report V76.51 as the primary diagnosis.Then you must check if the patient is considered a high risk. For average risk patients, a screening colonoscopy is limited to once every 10 years.t is used to provide an early diagnosis of colorectal cancer, diverticulosis, ulcerative colitis, Crohn's disease, etc. The diagnosis code for the screening is selected from the V code section V76.51 (Special screening for malignant neoplasms, colon).