AMA CPT® Assistant - 2016 Issue 2 (February)

Surgery: Digestive System (Q&A) (February 2016)

February 2016 page 13b Surgery: Digestive System Question: When a patient presents with poor bowel preparation for a screening or diagnostic colonoscopy, one of our gastroenterologists always utilizes the scope to do a "sneak peek" to make sure there is no obstruction that could be causing the poor bowel preparation. We have not reported this procedure in the past, but the provider is now questioning this and wants us to use modifier 53 to report an incomplete screening colonoscopy or modifier 52 to report an incomplete diagnostic colonoscopy. The reporting physician did not reach the splenic flexure. What is...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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