tci Outpatient Facility Coding Alert - 2016 Issue 1

Procedure Focus: Clip the Correct Modifier for Reporting Incomplete Colonoscopy

Plus: Don’t miss how reimbursement can change in 2016. In last month’s issue of Outpatient Facility Coding Alert, we studied some important aspects of colonoscopy code selection, including selecting an ICD-10 diagnosis and knowing whether to report CPT® or HCPCS procedure codes. Now it’s time to brush up on another important factor related to these procedures: being confident when reporting an incomplete colonoscopy. Starting point: It isn’t uncommon for a surgeon to plan a screening or diagnostic colonoscopy but, due to unforeseen circumstances, be unable to complete the procedure. Prior to calendar year (CY) 2015...

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