tci E/M Coding Alert - 2022 Issue Q3

Clip and Save: Know When to Apply an E/M Code to a Colonoscopy Encounter

Either time or medical decision making may be used if visit counts as an E/M service. Some coders may feel like they need more help in determining whether to report an evaluation and management (E/M) code for an encounter including a screening colonoscopy service. Pocket this primer to make sure you stay on the right side of colonoscopy reporting. Perform an Audit on Visit Notes If your provider frequently tacks an E/M code (99202-99215) on to their screening colonoscopy service claims, then chances are you haven’t audited your claims in a while. However, any practice auditing its claims...

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