February 2016 page 13b
Surgery: Digestive System
Question: When a patient presents with poor bowel preparation for a screening or diagnostic colonoscopy, one of our gastroenterologists always utilizes the scope to do a "sneak peek" to make sure there is no obstruction that could be causing the poor bowel preparation. We have not reported this procedure in the past, but the provider is now questioning this and wants us to use modifier 53 to report an incomplete screening colonoscopy or modifier 52 to report an incomplete diagnostic colonoscopy. The reporting physician did not reach the splenic flexure. What is...
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