tci General Surgery Coding Alert - 2019 Issue 4

You Be the Coder: See How G0513 Can Add Up for Colonoscopy

Question: Can we use the prolonged service codes G0513 and G0514 for screening colonoscopies? Oregon Subscriber Answer: Yes, you can use the HCPCS prolonged service codes for preventative screening with the HCPCS screening colonoscopy codes under certain circumstances. CMS introduced the prolonged service codes G0513 (Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)) and G0514 (… each additional 30 minutes (list separately in addition to code G0513 for...

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