AHA Coding Clinic® for HCPCS - 2025 Quarter 3; Ask the Editor
Modifier PT and HCPCS Level II Code C9779
If a patient presents for a screening colonoscopy, and a lesion is found and removed by endoscopic submucosal dissection (ESD) technique, HCPCS Level II code C9779 , is it appropriate to append modifier PT to this code to indicate the screening colonoscopy was converted to a therapeutic procedure? ...
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Article Overview
This article explains a Medicare facility reporting question involving screening colonoscopy services that change during the encounter and the related HCPCS Level II reporting context. It is intended for coding professionals who need to understand how the article frames the issue, the applicable code set, and the general reporting consideration discussed by the source.
Why This Topic Matters
Facility coders and billing staff may need to know how Medicare reporting conventions apply when a screening colonoscopy changes in scope during the procedure. The article is relevant to professionals who work with colonoscopy-related facility claims and HCPCS Level II coding.
What You Will Learn
- How the article frames a Medicare facility reporting question involving a screening colonoscopy that changes during the encounter.
- Which code set and modifier are discussed in the context of the reporting question.
- The general reporting issue addressed by the article.
- How the article positions the scenario for facility coding review.
Who Should Read This
- Medical coders
- Hospital outpatient billing staff
- Compliance professionals
- Revenue cycle staff
- Gastroenterology coding specialists
Codes Discussed
Modifiers Discussed
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