tci General Surgery Coding Alert - 2017 Issue 7

You Be the Coder: Watch Frequency for Colonoscopy Coding

Question: A patient had a screening colonoscopy in which our surgeon found and removed multiple adenomatous polyps. The patient’s primary physician ordered the patient to return to our surgeon for a six-month “screening surveillance” colonoscopy, which he ordered with a diagnosis of personal history of adenomatous polyp. Our surgeon performed the second colonoscopy with no findings that required tissue removal. What code should we use for the second colonoscopy, and should we use a modifier such as 33 or PT? Oregon Subscriber Answer: You should bill the second colonoscopy as 45378 (Colonoscopy, flexible; diagnostic, including collection of...

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