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Re: Ca colon screening From: J. Hellriegel (jhellrie@pce.net) Sun Dec 10 11:23:03 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: J. Hellriegel: "Re: Another Progestin IUD - FYI" Previous message: Ricardo Savaris: "Re: Another Progestin IUD - FYI" In reply to: Garry Siegel: "Re: Ca colon screening" Next in thread: Joanne Bulley: "Re: Ca colon screening" At Sat, 9 Dec 2000, Garry Siegel wrote: > >That said, I used to hand out the mail in hemoccult cards, with a dismal >response rate. Thus, I'm doing digital rectal exams on anyone 50 YO or >higher, and doing an on the spot hemoccult. If they are higher risk, >then I drop the age down. > -- Had similar experience. One in office is better than none at home. But, I start at age 40 for routine screens. -- >I realize that digital hemoccult isn't as good as home hemoccult, but it >beats nothing (I suppose). > -- Saw a patient last week who had a screening sigmoidoscopy which found cancer three months after I did a SOB that was negative. I believe the studies show that up to 50% of lesions are missed by SOB. Thus, I believe in sigmoid. or colonoscopy. And, yes, I do detect colon cancer from time to time. -- >What do others do? > >BTW, is the charge for a hemoocult reimbursed separately from the CPT >for a Women's Wellness exam? Jay, what does BC/BS do? > -- There is a CPT code for SOB. Some of our insurances pay for it and some do not. If I have the patient send the samples to a clinical laboratory, the SOB seems to always be covered (even when not covered in my office). -- >Garry >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- John Hellriegel, MD, PhD Next message: J. Hellriegel: "Re: Another Progestin IUD - FYI" Previous message: Ricardo Savaris: "Re: Another Progestin IUD - FYI" In reply to: Garry Siegel: "Re: Ca colon screening" Next in thread: Joanne Bulley: "Re: Ca colon screening"

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