ED Coding & Reimbursement Alert - 2019 Issue 4
You Be the Coder: See How G0513 Can Add Up for Colonoscopy
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Article Overview
This Q&A article reviews Medicare guidance on prolonged preventive service reporting for screening colonoscopy. It is aimed at coders and billing staff who need to understand when the HCPCS prolonged service codes may be discussed alongside preventive colonoscopy services, what CMS included in its 2018 physician fee schedule guidance, and the types of documentation the article addresses at a high level.
Why This Topic Matters
Accurate reporting of preventive service time can affect compliant coding and claim submission for screening colonoscopy scenarios. The article is relevant to practices that code Medicare preventive services and want to align with CMS guidance in the MPFS final rule.
Article Sections
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Question
Introduces the coding question addressed by the article and frames the preventive colonoscopy scenario under review.
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Answer
Summarizes the general Medicare guidance discussed and introduces the preventive service coding context.
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How to
Addresses the documentation and timing topics discussed for prolonged preventive services in connection with screening colonoscopy.
What You Will Learn
- How the article frames prolonged preventive service reporting in a screening colonoscopy setting.
- Which CMS guidance source the article references for this topic.
- What general documentation themes are discussed in relation to added service time.
- How the article situates the topic for Medicare preventive service coding.
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Gastroenterology practices
- Medicare billing professionals
Codes Discussed
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