tci Part B Insider - 2008 Issue 1

PART B CODING COACH: Cure Your Colonoscopy Denials by Following CMS' Advice

Guidance concerning what diagnosis codes you should report may surprise youIf you-re confused about what constitutes a screening versus a therapeutic colonoscopy and how to order your ICD-9 codes, you-re not alone. Four scenarios break down CMS- stance on this tricky subject and help lead to picture-perfect colonoscopy claims. Secure What a Screening Procedure Entails Scenario 1: A Medicare patient with no gastrointestinal symptoms reports for a screening colonoscopy (or flexible sigmoidoscopy). The gastroenterologist performs the procedure and sees nothing out of the ordinary.Solution: This is a screening procedure. CMS waives the annual Part B deductible for colorectal...

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