tci Outpatient Facility Coding Alert - 2013 Issue 4

Reader Question: Reporting Anesthesia for Colonoscopy

Question: I bill the anesthesia for a GI physician, and lately he’s been asking us to change the diagnosis code to “screening” when the procedure and diagnosis codes are 45384 and 211.3. Is it appropriate to change the diagnosis to V76.51 and still report 45384? Should we include modifier PT to show it went from a screening to a diagnostic procedure? North Dakota Subscriber Answer: Sometimes a patient is scheduled for a screening, but then the physician finds polyps (or other complications) during the procedure. If so, the GI physician can report the procedure with...

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