AHA Coding Clinic® for HCPCS - 2011 Quarter 1; FOR your INFORMATION
A New Modifier for the Reporting of Colorectal Screening Tests
Modifier PT, Colorectal cancer screening test; converted to diagnostic test or other procedure, was recently created by CMS for providers and practitioners to report the conversion of a screening colonoscopy or screening sigmoidoscopy to a diagnostic test or procedure provided on the same date and in the same encounter. In this instance modifier PT would be appended to the diagnostic procedure code that is reported instead of the HCPCS code for the screening colonoscopy or screening sigmoidoscopy. For additional information regarding the reporting of modifier PT, go to http://www.com.gov/Transmittals/downloads/R8640TN.pdf. ...
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Article Overview
This premium article covers a CMS update affecting colorectal screening test reporting. It is intended for coders, billing staff, and clinicians who need to understand the general reporting context for a screening encounter that changes to a diagnostic service on the same date. The article focuses on the new modifier, the type of situations it applies to, and a CMS reference for additional guidance.
Why This Topic Matters
This topic matters because colorectal screening reporting can change depending on what occurs during the same encounter, and updated modifier guidance affects how those services are documented and communicated for billing purposes.
What You Will Learn
- The general purpose of the modifier discussed in the article
- How the article frames colorectal screening test reporting changes
- Which organization issued the update
- Where the article directs readers for additional guidance
Who Should Read This
- Medical coders
- Billing staff
- Physicians and other practitioners
- Revenue cycle professionals
Modifiers Discussed
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