Coding FAQ | 合法醫療器材資訊網

Here are some examples for screening colonoscopy, which applies to both the physician and outpatient facility. Claims should be coded the same for procedures, modifiers and diagnosis with the exception of the discontinued procedure modifier (when the physician uses modifier 53, the outpatient hospital/ambulatory surgical facility uses modifier 74).

Example #1Indication: Colon screeningPost-endoscopy finding: Normal colonic mucosaProcedure code: G0121 (Average risk screening) for Medicare or 45378-33 (Diagnostic colonoscopy with modifier 33 indicating this is a preventive service) for commercial insuranceDiagnosis code: V76.51 (Special screening for malignant neoplasms, colon)

Example #2Indication: Personal history of colon polyps, Colon screeningPost-endoscopy findings: Normal colonoscopyProcedure code: G0105 (High risk screening) for Medicare or 45378-33 (Diagnostic colonoscopy with modifier 33 indicating this is a preventive service) for commercial insuranceDiagnosis c...

Coding FAQ | 合法醫療器材資訊網

Colonoscopy | 合法醫療器材資訊網

Colonoscopy – CPT Codes 45378-45398, G0105, G0121. The American Society for Gastrointestinal Endoscopy (ASGE) works to ensure that adequate methods ... Read More

Colonoscopy Coding Guidelines | 合法醫療器材資訊網

2021年6月28日 — When reporting a screening colonoscopy on a non-Medicare patient, report CPT® code 45378 and use the appropriate screening diagnosis code ... Read More

Coding and reimbursement for colonoscopy | 合法醫療器材資訊網

2016年5月1日 — Colonoscopy codes are listed in the digestive section of CPT, codes 45378–45398 (or codes 44388–44408, if performed through a stoma rather ... Read More

IF YOU ARE ABOUT TO HAVE A COLONOSCOPY What ... | 合法醫療器材資訊網

Colonoscopy is one form of colorectal cancer screening. ... disease requiring evaluation or treatment by colonoscopy (CPT Code: 45380 – See # 1 below). 2. Read More

Billing and Coding | 合法醫療器材資訊網

2020年9月11日 — Statement. CPT codes, descriptions and other data only are ... Do not report a colonoscopy procedure code for an endoscopy performed with a ... Read More

Coding Colonoscopies | 合法醫療器材資訊網

2020年6月2日 — The PT modifier (colorectal cancer screening test, converted to diagnostic test or other procedure) is appended to the CPT code. For example, if a ... Read More

Coding and reimbursement for colonoscopy | 合法醫療器材資訊網

2016年5月2日 — and diagnostic colonoscopy. Screening colonoscopy is defined as a procedure ... *All specific references to CPT codes and descriptions are ... Read More

Screening Versus Diagnostic Colonoscopy | 合法醫療器材資訊網

Medicare uses HCPCS codes to bill for screening colonoscopies. For a patient of typical risk, the screening procedure is reported with HCPCS code G0121; for a. Read More

Local Coverage Article for Billing and Coding | 合法醫療器材資訊網

Do not report a colonoscopy procedure code for an endoscopy performed with a sigmoidoscope on a patient with a normal length colon, even if the sigmoidoscope ... Read More

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