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tci E/M Coding Alert - 2019 Issue 6

Specialty Spotlight: Know When, When Not to Use E/M Codes for Pre-Colonoscopy Screenings

Hint: patient dx key to reporting 99201-99215 in addition to colonoscopy code. One of the most frequently rendered services in gastroenterology offices is the pre-colonoscopy screening. But knowing when you can, and when you cannot, apply an E/M code to the encounter still remains a major source of confusion among coders within the specialty. To try and settle this argument once and for all, we looked to Part B Medicare Administrative Contractor (MAC) Palmetto GBA and to a gastroenterology expert for guidance on Medicare and non-Medicare payer guidelines, and here’s what they had to say. First, Read Your...

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