tci General Surgery Coding Alert - 2021 Issue Q3

You Be the Coder: Look for Colonoscopy Medical Necessity

Question: Our surgeon performed a colonoscopy and internal hemorrhoidectomy by band ligation for a patient on the same day. The following day, the patient returned to the operating room with a post-operative hemorrhage. The surgeon performed a rigid sigmoidoscopy and irrigated and removed a clot from the rectum and sutured the hemorrhoidectomy site to control the bleeding. The surgeon then performed another colonoscopy on that date to evaluate the colon for hemorrhage. Can I bill two colonoscopies and a rigid sigmoidoscopy? Texas Subscriber Answer: No, based on the information provided, you should not bill two colonoscopies and a rigid...

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