AHA Coding Clinic® for HCPCS - 2013 Issue 3

RAC program highlights

Several coding issues selected for RAC review were first outlined in the First Quarter 2013 issue of the Coding Clinic for HCPCS newsletter. This is the third in a series of follow-up articles that will provide further detail and clarification regarding several of the topics that are currently under review. Diagnostic colonoscopy, sigmoidoscopy and proctosigmoidoscopy A RAC review may be prompted for diagnostic colonoscopies (45378), sigmoidoscopies (45330) and proctosigmoidoscopies (45300) when the corresponding ICD-9-CM codes do not meet medical necessity. For assistance with this issue, review your local National Coverage Determination(s) and Local Coverage Determination(s), or contact your specific...

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