tci General Surgery Coding Alert - 2015 Issue 2

CPT® 2015: Squash 'Abridged Colonoscopy' Coding Debate

New ‘decision tree’ defines choices. General surgery coders have long debated how to code a colonoscopy that a surgeon doesn’t complete. Consistent with tips you’ll see in the article “Correctly Choose Modifier 52 or 53 — Every Time” on page 12 of this issue, coders have put forth solutions ranging from using modifier 52 (Reduced services) or modifier 53 (discontinued Procedure), to not coding a colonoscopy at all but instead reporting a sigmoidoscopy. Answers are in: Thanks to a new “colonoscopy decision tree” in CPT® 2015, the debate is over. Now coders have instruction...

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