tci General Surgery Coding Alert - 2016 Issue 7

Reader Question: Follow Complex Rules for Discontinued Colonoscopy

Question: Our surgeon performed a diagnostic colonoscopy but was unable to get past the rectum due to a tight surgical colorectal anastomosis. The surgeon suggested that the patient would need surgery to correct the anastomosis. He also mentioned inadequate preparation for the procedure and discontinued the procedure. He then sent the patient to radiology for a barium enema examination. Can I bill the colonoscopy procedure that our surgeon attempted? If so, should I use the modifier 52 or 53? Oklahoma Subscriber Answer: No, you should not bill the procedure your surgeon attempted as a colonoscopy with either modifier 52...

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