SuperCoder on "Return for another colonoscopy modifier"
For a polypectomy performed during an incomplete colonoscopy, you should use 45384-45385 (removal of tumors, polyps, or other lesions by various techn
View ArticleUser id : 33683 on "Return for another colonoscopy modifier"
The service was not an incomplete/cancellation situation. Patient had first colonoscopy with polyp removal back in August of 2013. One polyp was not
View ArticleUser id : 34267 on "Lynch Syndrome"
I am looking for the diagnosis code for 'Lynch Syndrome", also known as 'Hereditary nonpolyposis colorectal cancer'. I have looked this up in every po
View ArticleSuperCoder on "Lynch Syndrome"
Final coding will depend on the exact nature of the patient’s condition. The simple answer is that to code Lynch Syndrome, you should report V84.09
View ArticleSuperCoder on "Return for another colonoscopy modifier"
No need for any modifier here. This is not a screening colonoscopy. Since the global period of August 2013 colonoscopy had lapsed, you need to code fr
View ArticleUser id : 71571 on "Colonscopy w/snare and hemostatic clip placed."
The polyp was removed with the hot snare. Resection and retrieval complete. Hemostatic clips were placed. What code would I use for the hemostatic cl
View ArticleSuperCoder on "Colonscopy w/snare and hemostatic clip placed."
Report nothing for the hemoclip placement. ENDOCLIPs are a form of surgical closure/surgical tool - There would not be a specific CPT surgical code fo
View ArticleUser id : 68072 on "terminated screening colonoscopy"
Can you please give some advise on how to code the following...pt was referred due to family hx of colon cancer in her father. "after normal digital
View ArticleSuperCoder on "terminated screening colonoscopy"
Given Medicare's time restriction of two years between two high risk screenings and 10 years between two average risk procedures, if a screening is re
View ArticleUser id : 68072 on "terminated screening colonoscopy"
Since I am billing for an ASC, wouldn't I use modifier 74?
View ArticleUser id : 14123 on "co-surgeons during endoscopy"
Our pediatric gastroenterologist scheduled a patient for an EGD, coordinating with one of our adult GI's doc's to do an EUS during the same session. T
View ArticleSuperCoder on "co-surgeons during endoscopy"
Instead of two codes bill it with 43242-62 or a co-surgery claim to work, however, the two physicians must coordinate their billing strategies. This r
View ArticleUser id : 14123 on "co-surgeons during endoscopy"
43242 Describes an EUS with FNA (fine needle aspiration). That would be used for an ultrasound guided needle aspiration or biopsy. The biopsy done h
View ArticleUser id : 25368 on "EKG prior to EGD"
In some ocassions an EKG must be performed prior to an EGD/Colonoscopy. Can it be billed separately or is it bundled as part of the procedure?
View ArticleSuperCoder on "EKG prior to EGD"
Bill for pre-operative evaluations using the appropriate Current Procedural Terminology (CPT) code (new patient, established patient or consultation).
View ArticleUser id : 25547 on "Bravo Interpretation Report"
Our providers bill for the interpretation of the Bravo 91035/26. Per coding guidelines there must be a written interp report of the data downloaded. T
View ArticleSuperCoder on "co-surgeons during endoscopy"
I believe the correct reporting in this scenario would be 43259 and then 43239-59. As you surmises, modifier 62 (Two Surgeons) is not applicable becau
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