DecisionHealth, DecisionHealth - 2011 Issue 1 (January)

Use new modifier PT when a colorectal screen becomes a diagnostic service

You must use a new modifier on your claims when a colorectal screening turns diagnostic or therapeutic. Make sure your billing staff knows about the new policy effective Jan. 1, but clue in your A/R department, too. CMS will continue to waive deductible payment for the diagnostic service, but you’ll still be responsible for collecting the patient copay.

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