tci Outpatient Facility Coding Alert - 2019 Issue 6

E/M Coding: Watch Out for E/M Pitfalls with Pre-Colonoscopy Screenings

Know when, when not to include an E/M code. Physicians performing colonoscopies in an outpatient facility will often see patients for pre-colonoscopy screenings, but it can be confusing to know how to report these services accurately — and when you can report them at all. That’s because not every pre-colonoscopy screening warrants a separate evaluation and management (E/M) code. Read on for an in-depth guide on when you should, and should not, code separately for your pre-colonoscopy E/M visits. First, Read Your Encounter Notes As with any other service, you can only code what the provider has documented...

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