Positive occult blood refers to the presence of blood in the stool that is not visible to the naked eye. This condition is detected through laboratory tests that specifically look for traces of blood in the feces. The ICD-10 code for positive occult blood is ICD-10 R19.5. Occult blood can be a sign of various gastrointestinal conditions and diseases, such as colorectal cancer, polyps, ulcers, diverticulosis, and inflammatory bowel disease. It can also be caused by non-gastrointestinal conditions, including bleeding disorders, kidney disease, and certain medications.
For Clinical Collections: Dip sampling bottle transfer wand into stool collection and place back into the FOBT-CHEKoc sampling bottle (ARUP Supply #49940) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
For Patient In Home Collection: Patients will dip sampling bottle transfer wand into stool collection and place back into the FOBT-CHEKoc sampling bottle provided in the Patient Take Home Kit (ARUP Supply #49952 which comes with complete patient collection instructions) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. Stool must be transferred to sampling bottle within 4 hours.
For Clinical Collections Dip sampling bottle transfer wand into stool collection and place back into the FOBT-CHEKoc sampling bottle ARUP Supply 49940 available online through eSupply using ARUP Connect or contact ARUP Client Services at 800 522-2787. 45388 Colonoscopy, flexible; with ablation of tumor s , polyp s , or other lesion s includes pre- and post-dilation and guide wire passage, when performed.
It can also be caused by non-gastrointestinal conditions, including bleeding disorders, kidney disease, and certain medications. The presence of positive occult blood in the stool does not necessarily mean that a person has a serious underlying condition. There may be other factors that contribute to the result, such as recent intake of certain foods (e.
Coding for screening and diagnostic fecal occult blood test
You'll need to ask yourself two questions before proceeding with coding for these procedures.
Key Points
Q: I am looking for help with CPT codes 82270 and 82272. The wording for these 2 codes is confusing because they are so similar. Code 82270 includes the wording "consecutive collected specimens with single determination, for colorectal neoplasm screening." Code 82272 includes the wording "1 to 3 simultaneous determinations, performed for other than colorectal neoplasm screening." When should we bill each of the codes, and can we bill 82272 if only 1 specimen is obtained-say, during a digital rectal exam?
A: Let's break down your query to the 2 questions you'll need to answer to determine which test, if any, should be billed.
If the test is for screening purposes, then you should bill 82270. This code always will be billed as a separate service when the developer has been placed on the cards after the 3 completed cards (or 1 completed triple card) have been returned to the office.
If a patient presents to the office with symptoms, however, a diagnostic fecal occult blood test (FOBT) would be performed and billed (82272). Code 82272 can be billed if 1 to 3 specimens are obtained (we'll discuss how to determine the number of specimens needed in the section below).
As we discussed above, for the screening test (82270), 3 consecutive stool specimens must be sampled. This means that the triple card or 3 separate single cards must be completed.
The number of specimens required for a diagnostic FOBT depends on the severity of the patient's problems, however. For example, if the patient presents with a complaint of severe abdominal pain and black, tarry stools, the physician would need to know immediately whether the patient has evidence of active gastrointestinal bleeding. If the physician collects 1 specimen, developer is added to check the color, and blood is found in the stool, then there is no need to collect 2 additional specimens because the physician is able to diagnose the problem without them.
On the other hand, if a patient presents with abdominal cramping on and off for the past 2 months, the situation is significantly less urgent and the physician would opt to send the patient home with 3 cards (or 1 triple card) to return to the office. In this situation, code 82272 would be billed when the card(s) are returned to the office and developer has been added.
If a screening FOBT is performed and only 1 specimen is collected, this is not a billable service. As we discussed earlier, code 82270 should be used for screening purposes, and this code requires 3 specimens in order to correctly be billed. Three specimens are required because internal medicine studies have shown that 1 specimen does not meet the threshold of being a "reasonable" means to screen for colorectal cancer.
The author is a compliance manager for Baptist Medical Associates in Louisville, Kentucky. Do you have a primary care-related coding question that you would like our experts to address in this column? Send it to [email protected]
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If a patient presents to the office with symptoms, however, a diagnostic fecal occult blood test (FOBT) would be performed and billed (82272). Code 82272 can be billed if 1 to 3 specimens are obtained (we'll discuss how to determine the number of specimens needed in the section below).
g., red meat, beets) or medications (e.g., nonsteroidal anti-inflammatory drugs). Therefore, further investigation is often required to determine the cause of the positive occult blood. Testing for occult blood can be done using various methods, including the guaiac-based fecal occult blood test (gFOBT) and the fecal immunochemical test (FIT). These tests can be performed at home or in a healthcare setting. If the test result is positive, additional diagnostic tests, such as a colonoscopy, may be recommended to identify the source and extent of the bleeding. Early detection of positive occult blood is crucial for diagnosing and treating any underlying conditions. Regular screening for colorectal cancer and other gastrointestinal diseases is recommended, especially for individuals with a higher risk profile (e.g., age over 50, family history of colorectal cancer). Prompt medical attention should be sought if positive occult blood is detected, as this can help prevent potential complications and improve the chances of successful treatment..
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