Frequently Asked Questions

Click on the questions below to view the answers.

How common is colon cancer?

Colorectal cancer is the fourth most common cancer in men and women in the United States and the second leading cause of cancer death in the United States.  Cancer usually develops from a precancerous lesion called adenomatous polyp or adenoma.  Polyps are very common and can occur in more than 30% of the population 50 years or older.

Are hemorrhoids the only thing that causes rectal bleeding?

Hemorrhoids are a common cause of rectal bleeding but not the only cause.  Other, more serious conditions can cause rectal bleeding, so seek evaluation by a colon rectal specialist if you are having this symptom.

Do I only need a colonoscopy if I am over age 50?

If you are at increased risk of colon cancer, have a family history of colon cancer or have symptoms such as bleeding, you may need a screening under the age of 50.

Do colon and rectal surgeons always recommend surgery?

No. If the condition can be effectively treated or managed medically, Dr. Perryman will try non-operative therapy first.

Do you do laparoscopic surgery?

Yes. Dr. Perryman received extensive laparoscopic colon surgery training in her fellowship and can perform laparoscopic surgery in suitable patients.

At what hospitals do we perform surgeries and colonoscopies?

We perform surgeries and colonoscopies at Centura-affiliated Parker Adventist Hospital and Crown Point Surgery Center in Parker, Colorado, as well as Health Corporation of America (HCA)’s Lincoln Surgery Center and Sky Ridge Surgical Center in Lone Tree, Colorado.

What do I need to do before I come to my office appointment?

You can use our link to download our office forms to fill out before you come in for your appointment or plan on arriving at least 10 minutes early to fill them out when you arrive at our office. Please bring your insurance card and driver’s license with you as these will need to be copied for your file. Please bring a list of your current medications with you.

Do I need to be referred by my primary care physician?

Some insurance companies require a written referral in order to be seen by a specialist. Check your insurance card, your policy handbook or call your insurance directly for clarification.

Why do I have to have a colonoscopy consult if my primary care physician orders me to have a colonoscopy?

Colonoscopy is the best colon evaluation at present. Because a colonoscopy is an invasive procedure with some risks, we like to make sure that our patients are comfortable with the procedure and the physician performing the procedure. Many patients take medication that may interfere with the procedure. Some patients have other health problems or risk factors that are best discussed before a colonoscopy is scheduled. Our office prefers to establish a strong patient physician relationship before performing any procedures. This appointment also allows us the opportunity to discuss options for other potential medical issues, sign consent forms and alleviate any unnecessary issues on the day of the procedure.

Is the colonoscopy consult appointment considered an office visit or a part of the colonoscopy?

The colonoscopy consult is billed as a specialist office visit. It is not considered a part of the colonoscopy so it typically will not be considered as a preventative visit.

Do I have to pay my copay before seeing the doctor?

Yes, in accordance with our insurance contracts, all copays are collected at the time of service. We do not bill for copays.

Do you submit to my insurance?

We submit to all insurance companies that we currently contract with. However, you are responsible for paying any copay, coinsurance or deductibles that your insurance company allocates. We accept major credit cards, checks and cash.

Should I come in for my visit and/or colonoscopy during my menstrual cycle?

Yes. It may seem embarrassing, but this should not interfere with any appointment.

My insurance covers routine screening of colonoscopies, so why did my insurance consider my colonoscopy as a medical procedure?

Some patients come for a routine colonoscopy and we find a polyp or other medical concern. Polyps are removed for biopsy and other medical concerns are also addressed. This information is reported to your insurance company. At that time your insurance can consider the claim as a medical procedure due to the findings.