tci Outpatient Facility Coding Alert - 2015 Issue 12

Coding Strategies: Correctly Code Your Screening Colonoscopies

Take note: The screening might eventually convert to therapeutic or diagnostic. Keeping the differences straight between diagnostic, high-risk screening and non-high-risk screening colonoscopies can be extremely challenging for the coders. But if you start with the correct code set and pay close attention to details, you’ll find success.’ Be Confident When Choosing CPT® or HCPCS Coders are trained to “think CPT®” from the start, but sometimes you may have to use the HCPCS code instead. For example, an elderly Medicare patient requests a screening colonoscopy. Her last colonoscopy was done 13 years ago, and was...

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