tci Part B Insider - 2014 Issue 36

Part B Coding Coach: Steer Clear of the Multiple-Endoscopy Limitations With These Pointers

Don’t get confused between multiple-procedure and multiple-scope rules. If you’re convinced that when your gastroenterologist performs a colonoscopy using different techniques to remove polyps in different parts of the colon that your practice should receive 100 percent of the full allowable fee for each individual procedure, then you’re setting yourself up for disaster. In such cases, you have to check your physician’s documentation to determine the base endoscopic procedure.  Look at these basic pointers to guide your multiple-endoscopy billing. Understand the Concepts of “Family” and “Scope” for Success If you want your...

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