tci Part B Insider - 2011 Issue 13

Revenue Boosting Quiz Answers: Are You Collecting Every Dollar You Deserve? Check Your Quiz Answers Here

Hint: Modifiers are key to collecting for screening-turned-diagnostic colonoscopy.Answer 1: In this case, you should report the colonoscopy with polyp removal via snare technique (such as 45385, Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor[s], polyp[s], or other lesion[s], by snare technique) with modifier PT (CRC screening test converted to diagnostic test or other procedure) appended to 45385.Modifier PT tells the MAC that your procedure started off as a screening service (which would most likely have been billed with G0105 for this patient) but the physician found an abnormality and the procedure subsequently became diagnostic...

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