CSHCN 2008 > Physician > Benefits and Limitations

   
 

24.3.7 Colorectal Cancer Screening

Procedure codes 2/F-G0104, 2/F-G0105, 4/I/T-G0106, 4/I/T-G0120, 2-G0121, and 4/I/T-G0122 are benefits of the CSHCN Services Program.

Refer to: Chapter 19, "Laboratory Services." on page 19-1 for additional information about laboratory cancer screening or pathology procedures.

Screening colonoscopy is recommended once every 24 months for individuals at high risk for colorectal cancer. High-risk individuals include clients with one or more of the following factors:

A 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.

Personal history of colonic polyps.

Inflammatory bowel disease, including Crohn's Disease, and ulcerative colitis.

Colorectal cancer screening is a benefit of the CSHCN Services Program for the following diagnosis codes:

Diagnosis Code
Description

5550

Regional enteritis of small intestine

5551

Regional enteritis of large intestine

5552

Regional enteritis of small intestine with large intestine

5559

Regional enteritis of unspecified site

5560

Ulcerative (chronic) enterocolitis

5561

Ulcerative (chronic) ileocolitis

5562

Ulcerative (chronic) proctitis

5563

Ulcerative (chronic) proctosigmoiditis

5568

Other ulcerative colitis

5569

Ulcerative colitis, unspecified

5582

Toxic gastroenteritis and colitis

5583

Allergic gastroenteritis and colitis

5589

Other and unspecified noninfectious gastroenteritis and colitis

V1005

Personal history of malignant neoplasm of the large intestine

V1006

Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus

V1053

Personal history of malignant neoplasm of the renal pelvis

V1272

Personal history of colonic polyps

V160

Family history of malignant neoplasm of gastrointestinal tract

V1851

Family history of colonic polyps


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