You Be the Coder: Avoid Patient Payment for Screening Colonoscopy

Article Overview

This premium coding article explains how to think about a screening colonoscopy case under Medicare when the procedure changes because additional findings are addressed during the encounter. It covers the relevant diagnosis and procedure coding categories, Medicare screening-versus-diagnostic billing considerations, and a billing modifier discussed in the context of a converted service. The article is aimed at coders and billing staff who work with gastrointestinal procedures and Medicare claims.