tci Outpatient Facility Coding Alert - 2014 Issue 10

Gastro Focus: Here's Your Key to Dealing with Multiple-Endoscopy Procedures

Prepare yourself with these pointers for multiple-procedure and multiple-scope rules. If your gastroenterologist performs a colonoscopy using multiple techniques to remove polyps in different parts of the colon, you have to check your physician’s documentation to determine the base endoscopic procedure before coding the service. Look at these basic pointers to guide your multiple-endoscopy billing. Understand the Concepts of “Family” and “Scope”  If you want your claim to be successful, then you must know the reasons for applying the multiple-endoscopy rule and when to apply it. Background: CMS devised the multiple-endoscopy method to avoid paying...

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