tci Part B Insider - 2006 Issue 4

MEETINGS: Watch Out For Mistaken Carrier Denials for Polypectomies

CMS aims to pay claims with correct rate within two days after budget passesYour carrier may be denying your claims for screening colonoscopies improperly, according to one caller at the Jan. 20 physician open door forum. The situation: Sometimes a patient comes in for a routine screening colonoscopy and the physician finds a polyp. In that case, the physician performs a polypectomy as part of the colonoscopy, but Medicare still wants you to bill using a V code for a screening colonoscopy. But now some carriers are refusing to pay for the polypectomy with the V code, Cecile Katzoff...

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