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Also Im quoting overhead goals 30-40% of income. Does that sound right ? Weakland, MDBallard Neighborhood Doctors5416 Ave NWSeattle, WA 98107Phone: Fax:

Maybe I'm not interpreting the information correctly, but doesn't it appear that Medicare basically requires the doctor to code the diagnostic code if polyps found on a screening colonoscopy.

https://www.cms.gov/transmittals/downloads/R1735B3.pdf 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 Locke, MD

http://www.medicare.gov/coverage/Search/Results.asp?State=AL%7CAlabama & Coverage=12%7CColorectal+Cancer+Screening+-+Colonoscopy & submitState=View+Results+%3E

For this screening test, the coinsurance or copayment applies, but the Medicare Part B deductible may be waived. However, if the screening test results in a biopsy or removal of a lesion or growth, the procedure is considered diagnostic and the deductible is applied. If the colonoscopy is done in a hospital outpatient department or ambulatory surgical center, you pay 25% of the Medicare-approved amount.

For more information, you may call 1-800-MEDICARE (1-).

http://www.cms.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdf

Colorectal Cancer ScreeningG0105 – Colonoscopy (high risk)G0121 – Colonoscopy (not high risk) https://www.cms.gov/transmittals/downloads/R1735B3.pdf

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