Re: Ca colon screening

From: Joanne Bulley (islesannie@yahoo.com)
Tue Dec 12 21:37:48 2000


Yes - I get reimbursed for it, most of the time. It is not much but it still counts. My understanding is there are more false positives with the rectal exam hemoccult.

Joanne

At Sat, 9 Dec 2000, Garry Siegel wrote: >
>At Sat, 9 Dec 2000, jkulkin wrote:
>>
>>A lot of debate on colo-rectal screening right now. Hemoccult testing
>>still found by recent articles to be the most effective but papers also
>>advocating screening colonoscopy as routine.
>>>
>>> --snipped
>
>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.
>
>I realize that digital hemoccult isn't as good as home hemoccult, but it
>beats nothing (I suppose).
>
>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?
>
>Garry
>
>--
>Garry E. Siegel, M.D., F.A.C.O.G.
>Roswell, GA
>Private Practice
>

--
Joanne Bulley, MD, FACOG
Keene, NH, USA

Take time to smell the roses.





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