tci Part B Insider - 2014 Issue 2

Reader Question: Let Modifier 52 Be Your Friend When Necessary

Question: My doctor did an incomplete colonoscopy and I’m not sure how to code it. See following which are findings from his report: A fungating circumferential bleeding mass of malignant appearance was found in the proximal rectum and distal sigmoid colon at 15 cm from the anus. The mass caused a partial obstruction. The scope could not traverse the lesion and the exam could not be finished. Cold forceps biopsies were performed. 4 1 ml india ink injections were successfully applied for tattooing. He coded colon w/biopsy and colon w/tattoo injection but I’m not sure if that&rsquo...

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