tci Outpatient Facility Coding Alert - 2016 Issue 5

Reader Question: Know the Limitations of Colonoscopy Coding

Question: What are the conditions when colonoscopy cannot be billed separately? New Jersey Subscriber Answer: Yes, there are conditions when a gastroenterologist performs colonoscopy but the service will not be covered. You should have additional documentation that indicates the medical necessity of the procedure when you submit your records for review by the payer. According to medical experts, a few of these conditions include: Hemorrhoids Acute limited diarrhea Chronic, stable irritable bowel syndrome (IBS) or chronic abdominal pain (though there are some exceptions with this condition in certain circumstances) Routine follow-up of inflammatory bowel disease (IBD) (except for checking...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.

TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Outpatient Facility Coding Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!