SuperCoder on "Flexible sigmoidoscopy"
Thanks for your query. You are right, using modifier 52, Reduced services with the billed flexible sigmoidoscopy code would be most appropriate in thi
View ArticleUser id : 27684 on "Gastroenterology"
A patient had an EGD with injection and BiCAP of AVM and Biopsy. I billed Medicare 43255 first CPT code and 43239-59 second CPT code, however Medicare
View ArticleSuperCoder on "Gastroenterology"
Thanks for your question. If you check CCI edits 43255 is a column 2 code for 43239 and requires the use of a modifier. It does not indicate that 43
View ArticleUser id : 27684 on "Diagnosis code for positive genetic marker test"
A patient had a colonoscopy with biopsies and the diagnosis for presenting for procedure was positive for a genetic marker test. what would be the co
View ArticleSuperCoder on "Diagnosis code for positive genetic marker test"
Thanks for your question. I will need additional information in order to answer your question. What type of genetic test did the patient take? Do yo
View ArticleUser id : 27684 on "Gastroenterology"
Which code should be billed first and with what modifier?
View ArticleSuperCoder on "Gastroenterology"
Please expand on your question. No codes or modifiers have been provided. Thank you.
View ArticleUser id : 27684 on "Billing for codes 45382 & 45385"
Which codes should be billed first and with what modifier? 45382 & 45385 (Medicare)
View ArticleSuperCoder on "Gastroenterology"
45382; Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater p
View ArticleSuperCoder on "Billing for codes 45382 & 45385"
Thanks for your question. 45382; Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding (eg, injection, bipolar cautery, unipola
View ArticleUser id : 27684 on "Change in Code"
What code replaced 43258 which was deleted 12-31-13?
View ArticleSuperCoder on "Change in Code"
Thanks for your question. 43258 was replaced by 43270; Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other
View ArticleUser id : 76198 on "Diagnostic E/M with colonoscopy"
I am of the understanding that you do not bill E/M's if they are screening for a colonoscopy. Can someone direct me to a link that states I CAN bill t
View ArticleSuperCoder on "Diagnostic E/M with colonoscopy"
You are correct that you should not bill an Evaluation and Management code when a patient is being seen before a screening colonoscopy. CMS does not p
View ArticleUser id : 12248 on "THD Hemorrhoidectomy"
What codes are appropriate for hemorrhoid treatment using the THD technique? Would u/s guidance be reported separately? Thank you.
View ArticleSuperCoder on "THD Hemorrhoidectomy"
Thanks for your question. See 46945; Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group and 46946; Hemorrh
View ArticleUser id : 30421 on "Patency Capsule"
I am looking for some guideance on billing for Patency Capsules. We bill with the 91299 for the capsule and the interpretation of the radiology report
View ArticleSuperCoder on "Patency Capsule"
Thanks for your question. You should not bill a 99211 with this code unless it represents a minimal level of evaluation and management. If the nurse
View ArticleUser id : 9112 on "Closure of Gastrocolic Fistula"
43880 Closure of Gastrocolic Fistula What code would you use when this is performed during a colonoscopy?
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