|
26.4.4 Cancer Screening, Colorectal
The following procedure codes are benefits of the Texas Medicaid Program:
Procedure codes 2/F-G0104, 2/F-G0105, 4/I/T-G0106, 4/I/T-G0120, and 2-G0121 are benefits of the Texas Medicaid Program if they are submitted with diagnosis code V1272.
Procedure code 4/I/T-G0122 is not a benefit of the Texas Medicaid Program.
Screening intervals are recommended once every 48 months for individuals 50 years of age and older. The screening colonoscopy is recommended once every 24 months for individuals at high risk for colorectal cancer.
High-risk individuals include people with one or more of the following:
• Close relative (sibling, parent, or child) who has had colorectal cancer or adenomatous polyposis.
•Family history of familial adenomatous polyposis.
•Family history of hereditary nonpolyposis colorectal cancer.
•Personal history of colorectal cancer.
•Inflammatory bowel disease, including Crohn's Disease, and ulcerative colitis.
Procedure codes 2/F-G0104 and 4/I/T-G0106 are not benefits of the Texas Medicaid Program if they are submitted with the following diagnosis codes:
|
