DecisionHealth, DecisionHealth - 2018 Issue 1 (January)

New coding guidance: Medicare: Don’t use the screening code when a colonoscopy converts

Anesthesia coding and billing experts predicted that reporting anesthesia for a screening colonoscopy could be tricky (APCPS 12/17, 11/17, 9/17). CMS Change Request 10181, issued Nov. 21 proves them right. To report anesthesia for a screening colonoscopy for Medicare patients, you’ll need to know whether the surgeon removed a polyp. But don’t assume the same rules will apply to your private payer claims.

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