Digging Into HIM & Coding Blog

When coding for colonoscopies for Medicare patients it is crucial to understand the following:

  1. What is a screening colonoscopy?
  2. Which codes are applicable?
  3. Is a modifier required?

In some scenarios, it is also helpful to know what coverage limitations apply.  Let’s take a closer look!

Continue reading to learn more about these procedures.

Additional Tips & Expertise

Q: If the physician removes a polyp using cold biopsy forceps, do we bill a biopsy, snare polypectomy or an ablation?
Q: Can I bill multiple codes for the removal of multiple polyps using the same method of removal?
Q: If I use multiple methods to remove multiple polyps, can I bill for each method?
Q: If the provider removes a polyp and the site bleeds and they inject epinephrine or place an endoclip to control the bleeding, can I bill for the control of bleed in addition to the polypectomy?
Q: If, during an ERCP, a stent is placed in both the biliary and pancreatic ducts, can I bill for both stents?
Q: What if the provider uses hot forceps for ablation?
Q: Medicare patient comes in for a screening colonoscopy and 2 polyps are found. One removed by snare and the other by cold biopsy forceps. Do we use Modifier-PT for both CPT codes?

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