California Medical Association: Coding for an Incomplete Colonoscopy

Medicare rules for coding colonoscopy differ from American Medical Association (AMA) rules, particularly with regard to “incomplete” colonoscopies. For a better explanation of the differences, AAPC’s Managing Editor G. John Verhovshek, MA, CPC, recently published an article through the California Medical Association.

“Some non-Medicare payers may follow CMS guidelines for an incomplete colonoscopy (modifier 53), while others may adhere to CPT® instructions (modifier 52),” he says. “Check with your third-party payers for their recommendations.”

Read the full article.

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